Healthcare Provider Details

I. General information

NPI: 1437071289
Provider Name (Legal Business Name): KAYCEE MICHELLE BROWN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 PINELAND DR STE 240
DALLAS TX
75231-5300
US

IV. Provider business mailing address

1949 SUE ELLEN ST
ANNA TX
75409-6056
US

V. Phone/Fax

Practice location:
  • Phone: 469-637-2777
  • Fax:
Mailing address:
  • Phone: 215-617-4786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1098899
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: