Healthcare Provider Details

I. General information

NPI: 1912820010
Provider Name (Legal Business Name): KYLE BROWN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 MADISON ST STE 445
SEATTLE WA
98104-3588
US

IV. Provider business mailing address

1221 MADISON ST STE 445
SEATTLE WA
98104-3588
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-6215
  • Fax: 206-386-2134
Mailing address:
  • Phone: 206-386-6215
  • Fax: 206-386-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPH60855330
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: