Individual
KAITLYN MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-4940
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036170846
IL
208000000X
Pediatrics Physician
036170846
IL
Other
Enumeration date
04/19/2021
Last updated
08/27/2024
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