Individual
KENNETH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 CREST DR, LYNCHBURG, TN 37352-7068
(615) 305-7776
Mailing address
445 CREST DR, LYNCHBURG, TN 37352-7068
(615) 713-8292
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
34516
TN
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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