Search › Kansas › 1041C0700X
Mary Brucker, LSCSW
NPI 1962615336 · on the registry since 2007 · sole proprietor
Practice
- Address
- 508 Cherokee St
Leavenworth, KS 66048 - Phone
- (913) 775-3663
- Fax
- (913) 351-3797
- Organisation at this address
- Hackworth Family Eye Care, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 500 E Midland Ave Ste B, Woodland Park, CO
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- CO, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas