Provider Demographics
NPI:1013431055
Name:MCNOWN, ALIA RENEE
Entity Type:Individual
Prefix:MRS
First Name:ALIA
Middle Name:RENEE
Last Name:MCNOWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALIA
Other - Middle Name:RENEE
Other - Last Name:NEUBRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 E BORGMEYER LN
Mailing Address - Street 2:
Mailing Address - City:ASSARIA
Mailing Address - State:KS
Mailing Address - Zip Code:67416-8830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:215 E BORGMEYER LN
Practice Address - Street 2:
Practice Address - City:ASSARIA
Practice Address - State:KS
Practice Address - Zip Code:67416-8830
Practice Address - Country:US
Practice Address - Phone:620-451-0046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator