Provider Demographics
NPI:1902941842
Name:BRERETON, DAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:BRERETON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1309 W 100TH TER STE 104
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4222
Mailing Address - Country:US
Mailing Address - Phone:812-201-9214
Mailing Address - Fax:
Practice Address - Street 1:10880 BENSON DR STE 2350
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1599
Practice Address - Country:US
Practice Address - Phone:913-795-7127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012180111N00000X
KS01-06080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor