Provider Demographics
NPI:1134716178
Name:BRAME, HENRY WESLEY JR (RN)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:WESLEY
Last Name:BRAME
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9197 SCOTT DR
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:KS
Mailing Address - Zip Code:66018-8508
Mailing Address - Country:US
Mailing Address - Phone:816-223-9227
Mailing Address - Fax:
Practice Address - Street 1:9197 SCOTT DR
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:KS
Practice Address - Zip Code:66018-8508
Practice Address - Country:US
Practice Address - Phone:816-223-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-103501-021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse