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NPI Code Detail

MEDICARE: CHRISTOPHER KEEGAN BROWN

MEDICARE: CHRISTOPHER KEEGAN 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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1467385260
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER KEEGAN BROWN
Provider Business Mailing Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 831-540-4141
Fax Number : 831-424-4425
Provider Business Practice Location Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 831-540-4141
Fax Number : 831-424-4425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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