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Individual

KERRY K BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
401 MAIN ST W, CANNON FALLS, MN 55009-2044
(507) 263-3344
Mailing address
621 GROVE ST N, CANNON FALLS, MN 55009-1626
(651) 353-0813

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 4375
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11572753
CAQH
MN
01
116482
HEALTH PARTNERS
MN
01
170233
U-CARE
MN
01
2026310
BEHAVIORAL HEALTHCARE PRO
MN
01
2443480
AMERICA'S PPO
MN
01
314P3BR
BCBS
MN
Enumeration date
07/27/2006
Last updated
07/08/2007
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