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1699778076

NPI Code Detail

MEDICARE: KENNETH A BROWN MD

MEDICARE: KENNETH A 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
1	207Y00000X	Otolaryngology Physician	13736	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00135885	OTHER	SC	RR MEDICARE PIN#

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1265654511	OTHER	SC	GROUP BFTENT NPI
2	7215359	OTHER	SC	AETNA GROUP PIN
3	4625215	OTHER	SC	AETNA KENNETH A BROWN PIN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699778076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH A BROWN MD

Provider Business Mailing Address
First Line	:	2295 HENRY TECKLENBERG DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-7801
Country	:	US
Telephone Number	:	843-766-7103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1231 RIBAUT RD
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29902-6147
Country	:	US
Telephone Number	:	843-525-6622
Fax Number	:	843-522-8243

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/06/2017

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Directions to “ KENNETH A BROWN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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