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NPI Code Detail

MEDICARE: KELSEY MARIE BROWN NP

MEDICARE: KELSEY MARIE BROWN NP
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
1363LA2200XAdult Health Nurse Practitioner71013875AIN
2363LG0600XGerontology Nurse Practitioner71013875AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171013875AOTHERINLICENSE

General Provider Information

NPI Number : 1700575867
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY MARIE BROWN NP
Provider Business Mailing Address
First Line : 101 CABARRUS AVE E STE 200
Second Line :
City : CONCORD
State : NC
Zip : 28025-3781
Country : US
Telephone Number : 855-743-2247
Fax Number :
Provider Business Practice Location Address
First Line : 3512 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4631
Country : US
Telephone Number : 260-483-9081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2023
Last Update Date : 02/16/2026

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Directions to “ KELSEY MARIE BROWN NP” Practice Location

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