Provider Demographics
NPI:1215961339
Name:BROWN, ARIKA JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:ARIKA
Middle Name:JEAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8440 E 29TH ST N
Mailing Address - Street 2:SUITE #100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226
Mailing Address - Country:US
Mailing Address - Phone:316-613-3770
Mailing Address - Fax:316-613-3799
Practice Address - Street 1:8440 E 29TH ST N
Practice Address - Street 2:SUITE 100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-3406
Practice Address - Country:US
Practice Address - Phone:316-613-3770
Practice Address - Fax:316-613-3799
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSV08106Medicare UPIN
KSM70E371Medicare ID - Type Unspecified