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NPI Code Detail

MEDICARE: THOMAS BROWN MD

MEDICARE: THOMAS BROWN MD
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
12084P0800XPsychiatry Physician21009KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578569315
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS BROWN MD
Provider Business Mailing Address
First Line : 107 CRANES ROOST CT
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-3650
Country : US
Telephone Number : 270-765-2605
Fax Number : 270-769-0836
Provider Business Practice Location Address
First Line : 107 CRANES ROOST CT
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-3650
Country : US
Telephone Number : 270-765-2605
Fax Number : 270-769-0836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 04/22/2015

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