Healthcare Provider Details

I. General information

NPI: 1083750475
Provider Name (Legal Business Name): KRISTIN ANN BROWN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6425 OLIVER AVE S
RICHFIELD MN
55423-1125
US

IV. Provider business mailing address

6425 OLIVER AVE S
RICHFIELD MN
55423-1125
US

V. Phone/Fax

Practice location:
  • Phone: 612-243-1916
  • Fax:
Mailing address:
  • Phone: 612-243-1916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2770
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2770
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: