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DR. KEVIN FRANK BROWN D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1245233980

Individual Registrant:
DR. KEVIN FRANK BROWN D.O.
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

Contact information for business:
3880 STOCKTON HILL RD SUITE 103-135 KINGMAN, AZ 86409-0595 US
Tel: 928-377-9182  Fax: 702-900-9648

Registration Information:
NPI: 1245233980
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AZ4550

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
185299AZ05
RAILROAD MEDICARE PTANP00424009AZ01
LICENSEAZ4550AZ01
MEDICARE PTANZ116535AZ01




HEALTH CARE JOBS AZ - Page 1



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