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Contact Information

MONA B BRAKE, MD
5500 E KELLOGG DR
WICHITA, KS67218-1607
 Phone: 316-685-2221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MONA B BRAKE · (Female)

NPI Number 1417915323
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 0426354
  • KS Other 0426354 STATE LICENCE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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