Individual
DR. KRISTY KEDIAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
(508) 477-7028
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
(508) 477-7028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223219
MA
207Q00000X
Family Medicine Physician
5101017130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107465
—
MA
Enumeration date
11/15/2005
Last updated
06/16/2016
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