Provider Demographics
NPI:1639696701
Name:BROCKMEYER, MEGAN WALKER (PA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:WALKER
Last Name:BROCKMEYER
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Gender:F
Credentials:PA
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Mailing Address - Street 1:23450 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-8702
Mailing Address - Country:US
Mailing Address - Phone:913-764-7788
Mailing Address - Fax:913-764-6088
Practice Address - Street 1:23450 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-8702
Practice Address - Country:US
Practice Address - Phone:913-764-7788
Practice Address - Fax:913-764-6088
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2024-03-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant