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1679397624 NPI number — KAYLA BROWN PT, DPT

NPI Number: 1679397624
Health Care Provider/Practitioner: KAYLA BROWN PT, DPT

Information about “1679397624” NPI (KAYLA BROWN PT, DPT) exists in 1679397624 in HTML format HTML  |  1679397624 in plain Text format TXT  |  1679397624 in PDF (Portable Document Format) PDF  |  1679397624 in an XML format XML  formats.

NPI Number : 1679397624 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679397624",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "KAYLA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1200 CORPORATE DR STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOOVER",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35242-5424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-238-7217",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 TANNER FORD BLVD STE 370",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HANAHAN",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29410-4712",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-718-1058",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/14/2024",
    "LastUpdateDate": "11/14/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "12638",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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