MEDICARE: KATHRYN BROWN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD2025-0167	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD2025-0167	OTHER	NM	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1134862154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN BROWN MD

Provider Business Mailing Address
First Line	:	321 VALENCIA DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1742
Country	:	US
Telephone Number	:	513-356-5860
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 PAN AM E FWY NE STE 200
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-3443
Country	:	US
Telephone Number	:	505-823-8282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	06/26/2025

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