MEDICARE: MR. KEVIN L BROWNE P.T.

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	2251X0800X	Orthopedic Physical Therapist	18792	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	022184	OTHER	ME	ANTHEM BC/BS
2	AA3837	OTHER	ME	HARVARDPILGRIMHEALTHCARE
3	7829776	OTHER	ME	CIGNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407852775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN L BROWNE P.T.

Provider Business Mailing Address
First Line	:	485 ARSENAL ST
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-5091
Country	:	US
Telephone Number	:	617-972-5255
Fax Number	:	617-972-5271

Provider Business Practice Location Address
First Line	:	485 ARSENAL ST
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-5091
Country	:	US
Telephone Number	:	617-972-5255
Fax Number	:	617-972-5271

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	10/21/2009

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