MEDICARE: KATHRYN 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
1	1041C0700X	Clinical Social Worker	SW22327	FL

General Provider Information

NPI Number	:	1992190144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN BROWN

Provider Business Mailing Address
First Line	:	7309 NW 95TH WAY
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2321
Country	:	US
Telephone Number	:	954-547-2602
Fax Number	:

Provider Business Practice Location Address
First Line	:	480 NW 33RD TER APT 307
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-1374
Country	:	US
Telephone Number	:	407-720-5976
Fax Number	:

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

Provider Enumeration Date	:	04/04/2015
Last Update Date	:	11/17/2023

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Directions to “ KATHRYN BROWN ” Practice Location

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