Brandy Wilson

NPI 1992368658 · on the registry since 2019

Practice

Address: 1460 Nw Vivion Rd Ste B
Kansas City, MO 64118
Phone: (816) 853-0946
Fax: (816) 396-8809
Organisation at this address: Summit Future Foundation
Summit Behavioral Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 101

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-04-18

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