Individual
DR. CHANEY MYCRAE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2101 SPEED AVE APT 13, LOUISVILLE, KY 40205-1353
(270) 562-2088
Mailing address
2101 SPEED AVE APT 13, LOUISVILLE, KY 40205-1353
(270) 562-2088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10946
KY
122300000X
Dentist
12014082A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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