Healthcare Provider Details

I. General information

NPI: 1811922107
Provider Name (Legal Business Name): KIMBERLY KEHOE-BROWN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 N EL CAMINO REAL
ENCINITAS CA
92024-1328
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 858-554-7439
  • Fax:
Mailing address:
  • Phone: 858-554-7439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNPF17195
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: