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Individual

KRISTIANA L BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10 WOODLAKE TRL STE C, MOUNT VERNON, OH 43050-9573
(740) 392-7337
(740) 392-7333
Mailing address
10 WOODLAKE TRL STE C, MOUNT VERNON, OH 43050-9573
(740) 392-7337
(740) 392-7333

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003972RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0100008
OH
Enumeration date
03/10/2014
Last updated
03/19/2021
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