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NPI Code Detail

MEDICARE: MR. KENNETH HARRISON BROWNE JR.

MEDICARE: MR. KENNETH HARRISON BROWNE JR.
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
1163WC0200XCritical Care Medicine Registered Nurse116269AK

General Provider Information

NPI Number : 1902763519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KENNETH HARRISON BROWNE JR.
Provider Business Mailing Address
First Line : 250 HOSPITAL PL
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-6999
Country : US
Telephone Number : 907-714-4491
Fax Number :
Provider Business Practice Location Address
First Line : 250 HOSPITAL PL
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-6999
Country : US
Telephone Number : 907-714-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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