Individual provider · NPI-1

Kevin Alan Brown

Anesthesiologist Assistant · Fort Wayne, IN

NPI number1881592111
StatusActive
Last updated in NPPESOct 27, 2026

Details

NPI
1881592111
Entity type
Individual (NPI-1)
Name
Kevin Alan Brown
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2026
Certification date
Oct 27, 2026
Last updated
Oct 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant––Yes

Practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Phone 260-266-1000

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

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