# MR. KIRK K. BROWN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083658561
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0010-11816 | NC | Yes |
| 363AM0700X | Medical Physician Assistant | 002835 | GA | — |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 01/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000518856Q | — | GA |
| 05 | — | 009935427 | — | AL |