Brenda Lee Bacon, LPN
NPI #1992821813 in Wellington, Kansas
Provider Information
- NPI Number
- 1992821813
- Entity Type
- Individual
- Name
- Brenda Lee Bacon, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Credential
- LPN
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 401 N WOODLAWN ST
- City
- Wellington
- State
- Kansas
- ZIP Code
- 67152-2857
- Phone
- (620) 326-3556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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