# DR. KELLIE R BROWN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154375400
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 39719 | WI | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 02/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 005000261X | HUMANA | — |
| 05 | — | 1154375400 | — | WI |
