Individual
KEVIN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 E 4TH ST, PALMYRA, NJ 08065-1506
(856) 786-4875
Mailing address
218 E 4TH ST, PALMYRA, NJ 08065-1506
(856) 786-4875
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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