Brenda Chandler
Contractor in Shawnee, KS. Individual provider (NPI-1).
NPI number1104951243
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1104951243
- Entity type
- Individual (NPI-1)
- Name
- Brenda Chandler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 200329650A | KS | Yes |
Practice location
6409 Charlotte StShawnee, KS 66216-2130
Phone 913-322-1764
Mailing address
6409 Charlotte StShawnee, KS 66216-2130
Phone 913-322-1764
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