Individual
KAYDE RENEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1517 N HOWE ST STE 4, SOUTHPORT, NC 28461-2773
(910) 332-3800
(910) 251-0421
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21385
NC
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P21385
PT LICENSE
NC
Enumeration date
06/20/2022
Last updated
05/14/2024
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