BRENNAN LEE (NPI# 1962037143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962037143 |
| Entity Type | Individual |
| Full Name | BRENNAN LEE |
| Practice Address |
1010 N Kansas St Wichita KS 67214-3124 |
| Practice Telephone | 3162932635 |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2020-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900788 | Brennan R. Lee | Dentist | 151 Riverside Dr, Binghamton, NY 13905-4218 | 2005-05-24 |
| Street Address |
1010 N KANSAS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557894 | Brenda A Issa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2006-02-15 |
| 1144845736 | Daniel Yassa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-10 |
| 1912522780 | Zachary Donoviel | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1205451085 | David Masolak | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1891310678 | Beau Fry | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1861016834 | Abhiram Challa | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1598389611 | Garrett Westman | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1174147318 | Garrett Walker | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-03 |
| 1003430331 | Javanthi Theegala | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-02 |
| 1932722394 | Nicholas Tuck | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992328678 | Madison Breanne Nigus | Student in an Organized Health Care Education/Training Program | 12526 E Central Ave Apt 2125, Wichita, KS 67206-2860 | 2020-05-28 |
| 1336762228 | Natalie Mae White | Student in an Organized Health Care Education/Training Program | 1613 S Triple Crown St, Wichita, KS 67230-7527 | 2020-05-26 |
| 1154944411 | Katty Gabriela Regalado Pastor | Student in an Organized Health Care Education/Training Program | 2549 S Maize Ct, Wichita, KS 67215-8902 | 2020-05-21 |
| 1245852839 | Katherine Gamble Flores-bailey | Student in an Organized Health Care Education/Training Program | 7450 E 32nd St N Apt 901, Wichita, KS 67226-1297 | 2020-05-18 |
| 1164050191 | Uyen Adrianne Tran | Student in an Organized Health Care Education/Training Program | 3823 N Estancia Ct, Wichita, KS 67205-8710 | 2020-03-27 |
| 1396305546 | Elijah White | Student in an Organized Health Care Education/Training Program | 1051 S Clifton Ave, Wichita, KS 67218-2910 | 2019-06-19 |
| 1932767332 | Benjamin John Lagaly | Student in an Organized Health Care Education/Training Program | 6401 W 34th St N, Wichita, KS 67205-2542 | 2019-05-31 |
| 1477110138 | Katelyn Elizabeth Gochenour | Student in an Organized Health Care Education/Training Program | 3431 E Pine St, Wichita, KS 67208-3275 | 2019-05-28 |
| 1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
| 1467926865 | Jacob Daniel Clarke | Student in an Organized Health Care Education/Training Program | 1717 S Cypress St Apt 1514, Wichita, KS 67207-5554 | 2019-01-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.