Individual
TERRY ELLERY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS, CSA
Contact information
Practice address
736 BURGESS AVE, LEXINGTON, KY 40511-1571
(859) 913-0372
Mailing address
736 BURGESS AVE, LEXINGTON, KY 40511-1571
(859) 913-0372
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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