Individual
KENNETH BLAIR BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7611 FOREST AVE, SUITE 300, RICHMOND, VA 23229-4946
(804) 968-4435
(804) 968-4463
Mailing address
7611 FOREST AVE, SUITE 300, HENRICO, VA 23229-4946
(804) 968-4435
(804) 968-4463
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101038892
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007345488
—
VA
01
—
VAA104106
MEDICARE PTAN
VA
Enumeration date
05/04/2006
Last updated
02/01/2022
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