Individual
MR. RANDOL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
103 KEYSTONE DR, RICHMOND, KY 40475-7988
(859) 353-8884
Mailing address
210 MALLORY SPG, BEREA, KY 40403-9653
(859) 302-0110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
61087945
WA
363LF0000X
Family Nurse Practitioner
Primary
3017196
KY
Other
Enumeration date
07/27/2020
Last updated
12/10/2025
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