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NPI Code Detail

MEDICARE: KELLIE MARIE BROWN MSC

MEDICARE: KELLIE MARIE BROWN MSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1275194797
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE MARIE BROWN MSC
Provider Business Mailing Address
First Line : 2279 45TH ST STE 2412
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1514
Country : US
Telephone Number :
Fax Number : 916-703-2701
Provider Business Practice Location Address
First Line : 2279 45TH ST STE 2412
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1514
Country : US
Telephone Number : 916-734-2577
Fax Number : 916-703-2701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 06/25/2019

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Directions to “ KELLIE MARIE BROWN MSC” Practice Location

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