Healthcare Provider Details

I. General information

NPI: 1740388511
Provider Name (Legal Business Name): CARMEN RENEE BROWNING PSC EARLY INTERVENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MINARY AVE
VERSAILLES KY
40383-1329
US

IV. Provider business mailing address

PO BOX 1431
VERSAILLES KY
40383-5431
US

V. Phone/Fax

Practice location:
  • Phone: 859-420-7708
  • Fax: 859-879-6165
Mailing address:
  • Phone: 859-420-7708
  • Fax: 859-879-6165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: