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NPI Code Detail

MEDICARE: KELE MICHELE BROWN MOT, LOTR.

MEDICARE: KELE MICHELE BROWN MOT, LOTR.
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
1225X00000XOccupational Therapist334454LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1334454OTHERLALICENSE

General Provider Information

NPI Number : 1407567696
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELE MICHELE BROWN MOT, LOTR.
Provider Business Mailing Address
First Line : 107 SUMMER LN
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-3501
Country : US
Telephone Number : 318-396-1969
Fax Number :
Provider Business Practice Location Address
First Line : 107 SUMMER LN
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-3501
Country : US
Telephone Number : 318-396-1969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 02/13/2026

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Directions to “ KELE MICHELE BROWN MOT, LOTR.” Practice Location

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