Provider Demographics
NPI:1952765141
Name:DUNN, BRANDYN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:BRANDYN
Middle Name:
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 JOHNSON DR APT 109
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3432
Mailing Address - Country:US
Mailing Address - Phone:808-222-3899
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD # MS 3010
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-3201
Practice Address - Country:US
Practice Address - Phone:913-588-6701
Practice Address - Fax:913-588-6708
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KS0444380207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program