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DR. KEVIN FRANK BROWN D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1245233980
Individual Registrant:DR. KEVIN FRANK BROWN D.O.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2812 SILVER CREEK RD BULLHEAD CITY, AZ 86442-8309 US
Tel: 928-763-7404 Fax: 928-763-9795
Tel: 928-763-7404 Fax: 928-763-9795
Contact information for business:
3880 STOCKTON HILL RD SUITE 103-135 KINGMAN, AZ 86409-0595 US
Tel: 928-377-9182 Fax: 702-900-9648
Tel: 928-377-9182 Fax: 702-900-9648
Registration Information:
NPI: 1245233980
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | AZ | 4550 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 185299 | AZ | 05 | |
| RAILROAD MEDICARE PTAN | P00424009 | AZ | 01 |
| LICENSE | AZ4550 | AZ | 01 |
| MEDICARE PTAN | Z116535 | AZ | 01 |
