Individual
MR. KIRK K. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1200
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11816
NC
363AM0700X
Medical Physician Assistant
002835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000518856Q
—
GA
05
—
009935427
—
AL
Enumeration date
06/15/2006
Last updated
01/07/2022
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