BRENNA NICOLE CARLSON PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1689201113- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2211 CHARLOTTE ST STE 150, KANSAS CITY, MO, 641082733
- Phone
- (816) 404-7030
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: MO #2023039436
Physician Assistant, Medical
License: NC #001012109
Physician Assistant, Medical
License: NE #2522
All Addresses
MAILING
2211 CHARLOTTE ST
KANSAS CITY, MO, 641082733