MEDICARE: MS. KATHY (KATHLEEN) KAY BROWN MS, CNM

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	367A00000X	Advanced Practice Midwife	4704234452	MI
2	367A00000X	Advanced Practice Midwife	99445	CO

General Provider Information

NPI Number	:	1841292927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHY (KATHLEEN) KAY BROWN MS, CNM

Provider Business Mailing Address
First Line	:	100 SPADER WAY
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020-2441
Country	:	US
Telephone Number	:	303-720-2291
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 GARDEN CENTER
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80020
Country	:	US
Telephone Number	:	720-887-2220
Fax Number	:	720-887-2229

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	03/07/2023

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