# KINGMAN FAMILY PRACTICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346386174
- **Authorized official:** KEVIN FRANK BROWN DO (PHYSICIAN)
- **Authorized official phone:** (928) 897-2199

## Contact information

- **Practice address:** 3131 WESTERN AVE, KINGMAN, AZ 86401-0951
- **Practice address phone:** (928) 718-0718
- **Mailing address:** 3880 N STOCKTON HILL RD STE 103135, KINGMAN, AZ 86409-0595
- **Mailing address phone:** (928) 897-2199
- **Mailing address fax:** (928) 692-1888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4550 | AZ | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 05/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 185299 | — | AZ |
| 01 | — | DG2348 | RAILROAD MEDICARE | AZ |
| 01 | — | Z116536 | MEDICARE PTAN | AZ |