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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 HousingInferred 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