Individual
DR. KELLY Z BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1220 MISSOURI AVE, PATHOLOGY DEPT, JEFFERSONVILLE, IN 47130-3725
(812) 283-2169
(502) 456-4440
Mailing address
1941 BISHOP LN STE 1018, LOUISVILLE, KY 40218-1928
(502) 456-6211
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01049440
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
30049
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526547
ANTHEM
IN
05
—
200206660A
—
IN
01
—
2873452000
PASSPORT ADVANTAGE
KY
01
—
50015821
PASSPORT
KY
05
—
64017668
—
KY
01
—
P00430449
MEDICARE RR
IN
01
—
P00709200
MEDICARE RR
KY
Enumeration date
09/17/2006
Last updated
02/19/2021
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