Individual
KELLEEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7740
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7740
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
214043-4405
UT
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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