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Search › Missouri › 103TC1900X

Supavan Brown, PH.D

NPI 1124391388 · on the registry since 2012

Practice

Address
300 Se 2nd St
Suite 100
Lees Summit, MO 64063
Phone
(816) 404-6189
Fax
(816) 525-2251
Organisation at this address
Kallsnick & Careswell
Careswell & Anderson Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri