Kevin R Brough
MOHS-Micrographic Surgeon
1861 N Rock Rd Ste 205
Wichita
, Kansas 67206-1264
Kevin R Brough
MOHS-Micrographic Surgeon
1861 N Rock Rd Ste 205
Wichita
, Kansas 67206-1264
(785) 827-2515
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Kevin R Brough
- 828 Elmhurst Blvd
- Salina, KS
- Zip : 67401-7406
- Fax : (785) 827-2515
- Phone : (785) 827-2500
Second Address
- Kevin R Brough
- 1861 N Rock Rd Ste 205
- Wichita, KS
- Zip : 67206-1264
- Fax : (316) 612-2420
- Phone : (316) 500-3231
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 04-42967 | KS |
National Provider Identifier
| NPI | 1326484999 |
|---|---|
| Provider Name | Kevin R Brough |
| First Address | Salina, KS 67401-7406 |
| Second Address | Wichita, KS 67206-1264 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2013 |
| Last Update Date | 10/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.