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Individual
RANDALL J BROWN
Active
Individual
RANDALL J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
419667
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046810
BC/BS KS
KS
01
—
20483
BC/BS NE
NE
01
—
608151
FIRST GUARD
KS
Enumeration date
07/19/2006
Last updated
07/09/2007
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