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NPI Code Detail

MEDICARE: BETHANY R. BROWN

MEDICARE: BETHANY R. 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1932066883
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY R. BROWN
Provider Business Mailing Address
First Line : 10100 ELIDA RD
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9056
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 LEWIS HARGETT CIR STE 220
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3565
Country : US
Telephone Number : 419-695-8010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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