Healthcare Provider Details

I. General information

NPI: 1740911197
Provider Name (Legal Business Name): KAYTLIN ALANA BROWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYTLIN ALANA CUPIT MD

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 HIGHWAY 43 N STE 200
ETHRIDGE TN
38456-2136
US

IV. Provider business mailing address

3316 HIGHWAY 43 N STE 200
ETHRIDGE TN
38456-2136
US

V. Phone/Fax

Practice location:
  • Phone: 931-244-6090
  • Fax: 931-244-6250
Mailing address:
  • Phone: 931-244-6090
  • Fax: 931-244-6250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number74232
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: