Individual
KEWANA M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EXECUTIVE CODIRECTOR
Contact information
Practice address
5824 MAPLE AVENUE, SAINT LOUIS, MO 63112-6311
(314) 282-0427
Mailing address
5824 MAPLE AVE, SAINT LOUIS, MO 63112-2415
(314) 282-0427
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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