Healthcare Provider Details

I. General information

NPI: 1710416797
Provider Name (Legal Business Name): KRISTEN NICOLE BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN NICOLE BEAM MD

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 AIRPORT BLVD STE D330
MOBILE AL
36608-6758
US

IV. Provider business mailing address

6701 AIRPORT BLVD STE D330
MOBILE AL
36608-6758
US

V. Phone/Fax

Practice location:
  • Phone: 251-607-9797
  • Fax: 251-607-7696
Mailing address:
  • Phone: 251-607-9797
  • Fax: 251-607-9797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD.48284
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number48284
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: