Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Thomas Brownback

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154757078

Jacob Thomas Brownback is a Student in an Organized Health Care Education/Training Program in Kansas City, Kansas. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2013

Practice location Address checks out

4628 Lafayette Ave
Kansas City, KS 66104
Phone: (913) 302-9317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 2012021520 (MO)

Record details

NPI number1154757078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2013
Last updated in NPPESSeptember 24, 2013

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