Individual
KENNETH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
201 SAINT PAULS AVE, 17J, JERSEY CITY, NJ 07306-3724
(201) 469-6373
Mailing address
201 SAINT PAULS AVE, 17J, JERSEY CITY, NJ 07306-3724
(201) 469-6373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00394600
NJ
Other
Enumeration date
09/20/2012
Last updated
10/15/2012
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