Provider Demographics
NPI:1255881744
Name:BROWN, LYNNE ANN (DC)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:LYNNE
Other - Middle Name:ANN
Other - Last Name:FARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:P.O. BOX 217
Mailing Address - Street 2:940 COMMERCIAL ST
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002
Mailing Address - Country:US
Mailing Address - Phone:913-367-3963
Mailing Address - Fax:913-367-7495
Practice Address - Street 1:940 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002
Practice Address - Country:US
Practice Address - Phone:913-367-3963
Practice Address - Fax:913-367-7495
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU52763Medicare UPIN