Individual
KIM LYNETTE BROWNLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8401 MARKET ST, YOUNGSTOWN, OH 44512-6725
(330) 729-2929
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.00331
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0869181
—
OH
01
—
8212345
MEDICARE PTAN
OH
Enumeration date
05/11/2006
Last updated
01/13/2020
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