Provider Demographics
NPI:1649336249
Name:BROWN, MICHAEL D (ND)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11240 STRANG LINE RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4039
Mailing Address - Country:US
Mailing Address - Phone:913-498-0005
Mailing Address - Fax:913-754-0875
Practice Address - Street 1:11240 STRANG LINE RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4039
Practice Address - Country:US
Practice Address - Phone:913-498-0005
Practice Address - Fax:913-754-0875
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS21-00009174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS27685045OtherBCBS PROVIDER ID