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Individual
KIMBERLEY ANNA BROWN
Active
Individual
KIMBERLEY ANNA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1043
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900420
UNITED HEALTH CARE
—
01
—
238809
MIDLANDS CHOICE
—
01
—
37314
BLUE CROSS BLUE SHIELD
—
01
—
970028870
RR MEDICARE
—
Enumeration date
07/26/2006
Last updated
09/27/2012
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