Provider Demographics
NPI:1821039223
Name:BRUNEAU, BRIGITTE (DC)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:BRUNEAU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8135 PARALLEL PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2010
Mailing Address - Country:US
Mailing Address - Phone:913-334-8080
Mailing Address - Fax:913-334-8081
Practice Address - Street 1:8135 PARALLEL PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2010
Practice Address - Country:US
Practice Address - Phone:913-334-8080
Practice Address - Fax:913-334-8081
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS27910022OtherBLUE CROSS BLUE SHIELD
KS27910022OtherBLUE CROSS BLUE SHIELD