Healthcare Provider Details

I. General information

NPI: 1871429613
Provider Name (Legal Business Name): KAILYN NELSON-BROWN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAILYN BROWN

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4626 E FORT LOWELL RD STE N
TUCSON AZ
85712-1182
US

IV. Provider business mailing address

4626 E FORT LOWELL RD STE N
TUCSON AZ
85712-1182
US

V. Phone/Fax

Practice location:
  • Phone: 808-979-1554
  • Fax:
Mailing address:
  • Phone: 808-979-1554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOTH-010043
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: