MEDICARE: DR. KEVIN BROWN PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	13203	TN

General Provider Information

NPI Number	:	1720677917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN BROWN PHARMD

Provider Business Mailing Address
First Line	:	790 N CEDAR BLUFF RD APT 716
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-2242
Country	:	US
Telephone Number	:	865-405-8904
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 N CEDAR BLUFF RD APT 716
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-2242
Country	:	US
Telephone Number	:	865-405-8904
Fax Number	:

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

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	01/13/2021

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