Provider Demographics
NPI:1629052766
Name:BROWN, KAREN S (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 N ROCK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1100
Mailing Address - Country:US
Mailing Address - Phone:316-634-4700
Mailing Address - Fax:361-634-4770
Practice Address - Street 1:2939 N ROCK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1100
Practice Address - Country:US
Practice Address - Phone:316-634-4700
Practice Address - Fax:361-634-4770
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
044576Medicare ID - Type Unspecified