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General NPI Number Information
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NPI Number | 1568227569
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Entity Type | Individual
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Provider Name | KIMBERLY E BROWN APRN
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Gender | Female
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 14 MOONBOW PLZ STE 2
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City | CORBIN
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State | KY
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Zip | 40701-8910
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Country | US
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Telephone | 606-215-3072
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Fax |
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Provider Business Mailing Address
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Address Line | 37 HOLLY TREE LN
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City | BARBOURVILLE
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State | KY
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Zip | 40906-7826
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4012045
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License Number State | KY
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