MEDICARE: BROWN FAMILY PRACTICE CLINIC

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

General Provider Information

NPI Number	:	1295784684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWN FAMILY PRACTICE CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 196
Second Line	:
City	:	CHEROKEE
State	:	KS
Zip	:	66724
Country	:	US
Telephone Number	:	316-281-3700
Fax Number	:	316-282-4322

Provider Business Practice Location Address
First Line	:	307 N HOSPITAL DR
Second Line	:	SUITE 200
City	:	GIRARD
State	:	KS
Zip	:	66743-2014
Country	:	US
Telephone Number	:	620-457-8100
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DOUGLAS KEITH BROWN
Credential	:	MD
Telephone Number	:	620-457-8100

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	11/04/2011

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