Individual
KENISHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 N 99TH AVE, AVONDALE, AZ 85323-5324
(623) 907-6520
Mailing address
824 N 99TH AVE STE 107-108, AVONDALE, AZ 85323-5324
(623) 907-1457
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN206881
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN206881
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
313512
AZ
Other
Enumeration date
07/15/2024
Last updated
10/02/2025
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