Individual
KELLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-2000
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004812A
IN
225X00000X
Occupational Therapist
99037676A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000624199
ANTHEM PROVIDER NUMBER
IN
05
—
200948890
—
IN
Enumeration date
06/10/2009
Last updated
07/08/2024
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