Brenda Avery is a Medical in Manhattan, Kansas. Brenda Avery practices all healthcare services and medical treatments related to Medical. The NPI Number for Brenda Avery is 1619953809. The last update date is 2015-09-21.
Brenda Avery's current location address is 1228 Westloop Pl, Manhattan, Kansas. You can contact this provider via phone number 8142378627 and fax number 8142380083. The mailing address for Brenda Avery is 1228 Westloop Pl, Manhattan, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Avery |
|---|---|
| Address | 1228 Westloop Pl, Manhattan, Kansas |
| Phone Number | 8142378627 |
| Fax Number | 8142380083 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1619953809 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2015-09-21 |
Provider Mailing Address Detail
| Address | 1228 Westloop Pl |
|---|---|
| City | Manhattan |
| State | Kansas (KS) |
| Post Code | 665022840 |
| Phone Number | 8142378627 |
| Fax Number | 8142380083 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 100917 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42107 | KS | BCBS OF KANSAS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brenda Avery by the Centers for Medicare & Medicaid Services?
The Brenda Avery has been issued the NPI (National Provider Identifier) 1619953809 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brenda Avery is located?
The Brenda Avery is situated at the following address: 1228 Westloop Pl, Manhattan, KS, 665022840.
What is Brenda Avery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda Avery's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When was the Brenda Avery's 1619953809 issued?
The Brenda Avery's 1619953809 was issued on 2005-12-20.
When was the information pertaining to Brenda Avery most recently updated or revised?
The details related to Brenda Avery, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-21.
NPI Number: 1699778829
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