BRECKEN SPENCER BERTIE
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1386551794- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2010 BECKER DR, LAWRENCE, KS, 660471620
- Phone
- (785) 864-3591
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary License: KS #3-120529
All Addresses
MAILING
2600 LINKS LN
INDEPENDENCE, KS, 673011620