Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 04-44686 | KS |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2021023196 | MO |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DR.0064074 | CO |
NPI | 1194112151 |
---|---|
Provider Name | Brandon Lee Barnds |
First Address | Overland Park, KS 66211-1358 |
Second Address | Overland Park, KS 66211-1358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2015 |
Last Update Date | 18/01/2022 |