Individual
TY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2670 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY 41017-5466
(859) 957-0052
(859) 957-0054
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 957-0052
(859) 957-0054
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
41471
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201206690
—
IN
05
—
7100039290
—
KY
01
—
P00935634
RAILROAD MEDICARE
KY
Enumeration date
05/29/2007
Last updated
09/24/2018
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