Kelly Brown
Licensed Practical Nurse in New York, NY. Individual provider (NPI-1).
NPI number1982127312
StatusActive
Last updated in NPPESJul 18, 2017
Details
- NPI
- 1982127312
- Entity type
- Individual (NPI-1)
- Name
- Kelly Brown
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2017
- Last updated
- Jul 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 236320 | NY | Yes |
Practice location
555 W 174th StNew York, NY 10033-8203
Phone 646-667-1156
Mailing address
555 W 174th StNew York, NY 10033-8203
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