| Rss Rachelle Brown Llc | |
|
11920 College Blvd Overland Park KS 66210-3943 | |
| (913) 400-2150 | |
| (913) 210-5661 |
| Full Name | Rss Rachelle Brown Llc |
|---|---|
| Speciality | Dentist |
| Location | 11920 College Blvd, Overland Park, Kansas |
| Authorized Official Name and Position | Rachelle Suzanne Brown (OWNER) |
| Authorized Official Contact | 9134002150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rss Rachelle Brown Llc 13021 W 95th St Ste B Lenexa KS 66215-3700 Ph: (913) 400-2150 | Rss Rachelle Brown Llc 11920 College Blvd Overland Park KS 66210-3943 Ph: (913) 400-2150 |
| NPI Number | 1861994469 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 05/19/2026 |
| Medicare PECOS PAC ID | 4183989916 |
|---|---|
| Medicare Enrollment ID | O20180529002157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861994469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Secondary |
| Provider Name | Rachelle Suzanne Brown |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023334315 PECOS PAC ID: 6709141534 Enrollment ID: I20180529002368 |
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