Healthcare Provider Details

I. General information

NPI: 1265354989
Provider Name (Legal Business Name): KAREN BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10216 PERIMETER PKWY
CHARLOTTE NC
28216-2461
US

IV. Provider business mailing address

7136 FOX POINT DR
CHARLOTTE NC
28269-1697
US

V. Phone/Fax

Practice location:
  • Phone: 980-298-9392
  • Fax:
Mailing address:
  • Phone: 980-298-9392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License NumberC50101
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: