Kimberly Brown

Individual provider Active NPI Social Worker · Leawood, KS

NPI 1467813634 · NPPES record last updated Mar 15, 2016

Key facts

NPI
1467813634
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
4391 (KS)
Practice address
13807 Pembroke LN
Leawood, KS 66224-4506
Phone
(913) 908-7396
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4391 KS Yes

Addresses

Primary practice location

13807 Pembroke LN
Leawood, KS 66224-4506

Mailing address

13807 Pembroke LN
Leawood, KS 66224-4506
Phone (913) 908-7396

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2016.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1467813634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 PEMBROKE LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662244506",
            "telephone_number": "913-908-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13807 PEMBROKE LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662244506",
            "telephone_number": "913-908-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

All providers in Leawood, KS · Social Worker in Kansas

Sources for this page

Verify at the official NPI Registry.