Provider Demographics
NPI:1194881938
Name:REPRODUCTIVE RESOURCE CENTER OF GREATER KANSAS CITY, L.L.C.
Entity type:Organization
Organization Name:REPRODUCTIVE RESOURCE CENTER OF GREATER KANSAS CITY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRABEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-894-2323
Mailing Address - Street 1:12200 W 106TH ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2300
Mailing Address - Country:US
Mailing Address - Phone:913-894-2323
Mailing Address - Fax:913-894-0841
Practice Address - Street 1:12200 W 106TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2300
Practice Address - Country:US
Practice Address - Phone:913-894-2323
Practice Address - Fax:913-894-0841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0421337207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty