Individual
OLIVIA JO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
842 E MOUNTAIN PKWY, SALYERSVILLE, KY 41465-8378
(606) 349-8100
(606) 349-8150
Mailing address
PO BOX 280, PRESTONSBURG, KY 41653-0280
(606) 349-8100
(606) 349-8150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2727
KY
363A00000X
Physician Assistant
TC998
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100734060
—
KY
Enumeration date
02/15/2021
Last updated
04/27/2021
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