Crystal Brown-Vredenburg
Family Medicine in Lees Summit, MO. Individual provider (NPI-1).
NPI number1114488665
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1114488665
- Entity type
- Individual (NPI-1)
- Name
- Crystal Brown-Vredenburg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2022033075 | MO | Yes |
| 207Q00000X | Family Medicine | TBD | MO |
Practice location
20 Ne Saint Lukes Blvd Ste 200Lees Summit, MO 64086-6001
Phone 816-347-5100 · Fax 816-347-5136
Mailing address
20 Ne Saint Lukes Blvd Ste 200Lees Summit, MO 64086-6001
Phone 816-347-5100 · Fax 816-347-5136
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All 79 Family Medicine Physician providers in Lees Summit · All 2,759 providers in Lees Summit
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