SearchKansas310400000X

Brenda Bacon, LPN

NPI 1992821813 · on the registry since 2007 · sole proprietor

Practice

Address
401 N Woodlawn St
Wellington, KS 67152
Phone
(620) 326-3556
Fax
(620) 892-5843
Organisation at this address
E.B. Enterprises Llc
Serenity: Senior Retreat Housing
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
310400000X
310400000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Kansas