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Individual
DR. KEVIN FRANK BROWN
Active
Individual
DR. KEVIN FRANK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4550
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185299
—
AZ
01
—
AZ4550
LICENSE
AZ
01
—
P00424009
RAILROAD MEDICARE PTAN
AZ
01
—
Z116535
MEDICARE PTAN
AZ
Enumeration date
05/25/2005
Last updated
08/24/2019
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