Individual
DR. KENNETH AARON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 CRATER LAKE AVE, ATTENTION ED, MEDFORD, OR 97504-6241
(541) 732-6914
Mailing address
9351 CAROLINA DR, CENTRAL POINT, OR 97502-9701
(541) 855-2009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11656
AZ
207P00000X
Emergency Medicine Physician
Primary
19522
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112904
—
OR
Enumeration date
04/24/2007
Last updated
07/08/2007
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