Brake, Mona B.

Brake, Mona B. is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Brake, Mona B. can be contacted via phone (316) 685-2221.

Contact Information

Primary practice address
5500 E Kellogg Dr Wichita KS 67218-1607
Phone: (316) 685-2221
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0426354 Kansas

Profile Details

NPI number 1417915323
LBN Legal business name Brake, Mona B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417915323 NPPES
Kansas Other 0426354 STATE LICENCE NUMBER

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