Healthcare Provider Details

I. General information

NPI: 1992613384
Provider Name (Legal Business Name): KERYL MEGAN BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WERRIS BROWN

II. Dates (important events)

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

III. Provider practice location address

1018 CENTRE AVE
FORT COLLINS CO
80526-1849
US

IV. Provider business mailing address

1018 CENTRE AVE
FORT COLLINS CO
80526-1849
US

V. Phone/Fax

Practice location:
  • Phone: 970-893-7600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: