Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 04-38627 | KS |
N | 111NI0900X | Internist | 04-38627 | KS |
N | 207R00000X | Internist | 94-08314 | KS |
N | 111NI0900X | Internist | 94-08314 | KS |
NPI | 1003221839 |
---|---|
Provider Name | Kathryn Watkins Brickman |
First Address | Denver, CO 80217-5183 |
Second Address | Wichita, KS 67214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2014 |
Last Update Date | 13/08/2018 |