Rockefeller, Brianne Renee

Rockefeller, Brianne Renee is an individual health care provider with primary practice located at 4000 Cambridge St , Kansas City KS 66160-1353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rockefeller, Brianne Renee can be contacted via phone (913) 588-6000.

Contact Information

Primary practice address
4000 Cambridge St Kansas City KS 66160-1353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01830 Kansas

Profile Details

NPI number 1366818064
LBN Legal business name Rockefeller, Brianne Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2015
Last updated Jun 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366818064 NPPES
Kansas MEDICAID 201119330A
Kansas Other 068002340

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