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Organization

KEVIN F BROWN DO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NARGUESS A DADFAR MA (ADMINSTRATOR)
(818) 518-7226
Entity
Organization

Contact information

Practice address
3700 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1253
(623) 200-2397
(818) 671-2225
Mailing address
21419 N. PALM DESERT, SUN CITY WEST, AZ 85375

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
005311
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005311
MEDICAL LICENSE
AZ
Enumeration date
01/17/2018
Last updated
01/17/2018
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