Individual
MR. KYLE DOUGLAS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C PMHNP-BC
Contact information
Practice address
451 21ST AVE STE A, LONGMONT, CO 80501-1483
(720) 552-6166
(877) 471-6899
Mailing address
5966 THISTLE RIDGE AVE, FIRESTONE, CO 80504-6562
(970) 408-9017
(877) 471-6899
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
190200
CO
363LF0000X
Family Nurse Practitioner
APN.0993969-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0993969
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70980080
—
CO
Enumeration date
11/21/2011
Last updated
07/09/2025
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