Individual
KACIE M BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 KORINA AVE UNIT A, GRAND FORKS AFB, ND 58204-1378
(614) 499-7950
Mailing address
1113 KORINA AVE UNIT A, GRAND FORKS AFB, ND 58204-1378
(614) 499-7950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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