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NPI Code Detail

MEDICARE: DR. KEVIN FRANK BROWN D.O.

MEDICARE:  DR. KEVIN FRANK BROWN  D.O.
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
1207Q00000XFamily Medicine Physician4550AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00424009OTHERAZRAILROAD MEDICARE PTAN
4Z116535OTHERAZMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ4550OTHERAZLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245233980
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN FRANK BROWN D.O.
Provider Business Mailing Address
First Line : 3880 STOCKTON HILL RD
Second Line : SUITE 103-135
City : KINGMAN
State : AZ
Zip : 86409-0595
Country : US
Telephone Number : 928-377-9182
Fax Number : 702-900-9648
Provider Business Practice Location Address
First Line : 2812 SILVER CREEK RD
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-8309
Country : US
Telephone Number : 928-763-7404
Fax Number : 928-763-9795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2005
Last Update Date : 08/24/2019

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Directions to “ DR. KEVIN FRANK BROWN D.O.” Practice Location

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