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Individual

MRS. KATHLEEN T BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A-NP

Contact information

Practice address
887 OLD COUNTRY RD, SUITE A, RIVERHEAD, NY 11901-2115
(631) 727-6122
(631) 727-2672
Mailing address
887 OLD COUNTRY RD, SUITE A, RIVERHEAD, NY 11901-2115
(631) 727-6122
(631) 727-2672

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
378806-1
NY

Other

Enumeration date
12/13/2012
Last updated
12/13/2012
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