Provider Demographics
NPI:1962799924
Name:BROXTERMAN, EMILY CHRISTINE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CHRISTINE
Last Name:BROXTERMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7400 STATE LINE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3445
Mailing Address - Country:US
Mailing Address - Phone:913-588-6605
Mailing Address - Fax:913-588-0888
Practice Address - Street 1:7400 STATE LINE RD STE 202
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3445
Practice Address - Country:US
Practice Address - Phone:913-588-6605
Practice Address - Fax:913-588-0888
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-38922207W00000X
MO2015018663207W00000X, 207WX0110X
KS0438922207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology