Individual
KIMBELY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1150 GRAHAM RD STE 102, FLORISSANT, MO 63031-8077
(314) 206-3900
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MO
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132297
MISSOURI DIVSION OF AGING
MO
Enumeration date
01/15/2019
Last updated
08/31/2023
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