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NPI Code Detail

MEDICARE: KIYANA BROWN

MEDICARE: KIYANA BROWN
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
1390200000XStudent in an Organized Health Care Education/Training ProgramS.2604896-TRNEOH
2171M00000XCase Manager/Care Coordinator
3175T00000XPeer Specialist

General Provider Information

NPI Number : 1922732981
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIYANA BROWN
Provider Business Mailing Address
First Line : 1628 SPRINGFIELD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1430
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3411 OFFICE PARK DR STE 200
Second Line :
City : KETTERING
State : OH
Zip : 45439-2295
Country : US
Telephone Number : 937-802-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2022
Last Update Date : 02/26/2026

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Directions to “ KIYANA BROWN ” Practice Location

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