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Individual

DR. KEVIN DOUGLAS BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2828 1ST AVE, 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
(304) 525-6154
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
(304) 955-6200
(304) 399-2526

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
00282
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
07001001A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10396
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699732214
GROUP NPI
WV
05
3810009292
WV
Enumeration date
01/31/2006
Last updated
12/05/2022
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