Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 19336 | NE |
N | 207VE0102X | Reproductive Endocrinologist | 20000146075 | MO |
Y | 207VE0102X | Reproductive Endocrinologist | 428258 | KS |
N | 207VE0102X | Reproductive Endocrinologist | J2115 | TX |
NPI | 1588605281 |
---|---|
Provider Name | Celeste Brabec |
First Address | Overland Park, KS 66215-2300 |
Second Address | Overland Park, KS 66211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G48963 | (02) |