Provider Demographics
NPI:1629074661
Name:BROWN APPLEGATE, BARBARA A (DO)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:BROWN APPLEGATE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:128 S. 5TH
Mailing Address - City:OSBORNE
Mailing Address - State:KS
Mailing Address - Zip Code:67473-0307
Mailing Address - Country:US
Mailing Address - Phone:785-346-2033
Mailing Address - Fax:785-346-2919
Practice Address - Street 1:128 S. 5TH
Practice Address - Street 2:
Practice Address - City:OSBORNE
Practice Address - State:KS
Practice Address - Zip Code:67473-0307
Practice Address - Country:US
Practice Address - Phone:785-346-2033
Practice Address - Fax:785-346-2919
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-23287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100231060BMedicaid
KSE48530Medicare UPIN
KS100231060BMedicaid