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NPI Code Detail

MEDICARE: KIKU ANN BROWN

MEDICARE: KIKU ANN BROWN
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
1172V00000XCommunity Health Worker
2164W00000XLicensed Practical Nurse876649NV

General Provider Information

NPI Number : 1306507595
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIKU ANN BROWN
Provider Business Mailing Address
First Line : 474 W 200 N # 300
Second Line :
City : ST GEORGE
State : UT
Zip : 84770-4505
Country : US
Telephone Number : 435-634-5600
Fax Number : 435-986-8700
Provider Business Practice Location Address
First Line : 250 PILOT RD STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3514
Country : US
Telephone Number : 702-982-3292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 05/09/2024

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Directions to “ KIKU ANN BROWN ” Practice Location

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