Individual provider · NPI-1

Brandon Abbott, D.O.

Family Medicine · Kansas City, MO

NPI number1356875702
StatusActive
Last updated in NPPESAug 12, 2020

Details

NPI
1356875702
Entity type
Individual (NPI-1)
Name
Brandon Abbott
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 12, 2017
Certification date
Aug 12, 2020
Last updated
Aug 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2017021934MOYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

7900 Lees Summit Rd
Kansas City, MO 64139-1236

Phone 816-407-7000

Mailing address

513 Burkarth Rd
Warrensburg, MO 64093-3103

Phone 660-747-7751

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