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Individual

KATHY J BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN104563
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 12842
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000819783A
GA
05
009904890
AL
05
3626571
TN
01
4164382
BLUE CROSS BLUE SHIELD TN
TN
01
430072597
RAILROAD MEDICARE
TN
05
8053128
NC
01
N472465
WELLCARE (GA MEDICAID)
GA
Enumeration date
12/05/2007
Last updated
05/12/2010
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