Individual
MS. KENDRA GENELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, QMHP
Contact information
Practice address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(503) 858-8170
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(503) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
201142442RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
201142442RN
OR
Other
Enumeration date
02/03/2012
Last updated
02/24/2016
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