Individual
KELLI BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 THOMPSON RD, RUSSELL, KY 41169-1645
(606) 833-8480
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-8480
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TP249
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2010
Last updated
07/09/2013
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