Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 6944 | KS |
NPI | 1003890526 |
---|---|
Provider Name | Dr. Rodney C. Brown |
First Address | Lawrence, KS 66049-3838 |
Second Address | Lawrence, KS 66049-3838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 08/07/2007 |