Individual
DR. KELLIE R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Mailing address
9200 W WISCONSIN AVE, DIVISION OF VASCULAR SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
39719
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005000261X
HUMANA
—
05
—
1154375400
—
WI
Enumeration date
05/20/2006
Last updated
02/08/2021
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