person
Jacob Thomas Brownback
Student in an Organized Health Care Education/Training Program in Kansas City, Kansas
NPI 1154757078

Jacob Thomas Brownback is a Student in an Organized Health Care Education/Training Program based in Kansas City, KS. Jacob Thomas Brownback practices in Kansas City, KS. The NPI Number for Jacob Thomas Brownback is 1154757078 and holds a License No. 2012021520 (Kansas).

The current practice location address for Jacob Thomas Brownback is 4628 Lafayette Ave, Kansas City, KS and can be reached out via phone at 913-302-9317.

Location: 4628 Lafayette Ave, Kansas City, KS, 66104-3335
person
Provider Profile Details
NPI Number
1154757078
Provider Name
Jacob Thomas Brownback
Credential
Provider Entity Type
Individual
Gender
Male
Address
4628 Lafayette Ave, Kansas City, KS, 66104-3335
Phone Number
913-302-9317
Fax Number
Provider Enumeration Date
09/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000010702 01 NATA BOARD OF CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
4628 Lafayette Ave
City
State
Zip
66104
Phone Number
913-302-9317
Fax Number
person
Provider Business Mailing Address Details
Address
4628 Lafayette Ave
City
State
Zip
66104
Phone Number
913-302-9317
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
2012021520 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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