Whalio Doctors

NPI 1114488665

Crystal Brown-Vredenburg

Practitioner Family Medicine Physician Lees Summit, MO

Practice location

Address
20 NE Saint Lukes Blvd STE 200, Lees Summit, MO 64086-6001
Phone
(816) 347-5100
Fax
(816) 347-5136

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2022033075 (MO)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence TBD (MO)

Registry record

NPI
1114488665
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Mar 2019
Record last updated
31 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.