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Brenna Nicole Carlson, PA-C

Physician Assistant, Medical in Kansas City, MO. Individual provider (NPI-1).

NPI number1689201113
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1689201113
Entity type
Individual (NPI-1)
Name
Brenna Nicole Carlson
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2020
Certification date
Oct 24, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical2023039436MOYes
363AM0700X Physician Assistant, Medical001012109NC
363AM0700X Physician Assistant, Medical2522NE

Practice location

2211 Charlotte St Ste 150
Kansas City, MO 64108-2733

Phone 816-404-7030

Mailing address

2211 Charlotte St
Kansas City, MO 64108-2733

Other practice locations

2510 Bellevue Medical Center Dr Ste 145a
Bellevue, NE 68123-1556

Phone 402-779-7207 · Fax 402-779-7210

231 N Judd Pkwy Ne
Fuquay Varina, NC 27526-2694

Phone 919-235-6410

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Other Medical Physician Assistant providers in Kansas City, MO

All 36 Medical Physician Assistant providers in Kansas City · All 16,914 providers in Kansas City

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