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NPI Code Detail

MEDICARE: MS. KAREN LYNN BROWN PAC

MEDICARE: MS. KAREN LYNN BROWN PAC
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
1363A00000XPhysician Assistant5601003287MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15601003287OTHERMIPAC LICENSE

General Provider Information

NPI Number : 1790890655
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN LYNN BROWN PAC
Provider Business Mailing Address
First Line : 418 W KALAMAZOO AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3334
Country : US
Telephone Number : 269-553-7037
Fax Number : 269-553-7106
Provider Business Practice Location Address
First Line : 418 W KALAMAZOO AVE
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-3334
Country : US
Telephone Number : 269-553-7037
Fax Number : 269-553-7106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 03/07/2023

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Directions to “ MS. KAREN LYNN BROWN PAC” Practice Location

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