Kylie Brown, BCO
Technician/Technologist, Ocularist in Tempe, AZ. Individual provider (NPI-1).
NPI number1811505795
StatusActive
Last updated in NPPESJul 16, 2020
Details
- NPI
- 1811505795
- Entity type
- Individual (NPI-1)
- Name
- Kylie Brown
- Credential
- BCO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2020
- Certification date
- Jul 16, 2020
- Last updated
- Jul 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1700X | Technician/Technologist, Ocularist | – | – | Yes |
| 174400000X | Specialist | – | – |
Practice location
3025 S Kenneth PlTempe, AZ 85282-3942
Phone 480-264-3041
Mailing address
3025 S Kenneth PlTempe, AZ 85282-3942
Phone 541-212-3195
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