Healthcare Provider Details

I. General information

NPI: 1467385260
Provider Name (Legal Business Name): CHRISTOPHER KEEGAN BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 SOQUEL AVE
SANTA CRUZ CA
95062-7805
US

IV. Provider business mailing address

5300 SOQUEL AVE
SANTA CRUZ CA
95062-7805
US

V. Phone/Fax

Practice location:
  • Phone: 831-540-4141
  • Fax: 831-424-4425
Mailing address:
  • Phone: 831-540-4141
  • Fax: 831-424-4425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: