Individual
KEVIN DANIEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
420 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5147
(317) 274-5555
Mailing address
5103 N CONTI CT, BLOOMINGTON, IN 47404-9055
(813) 758-8106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
10004235A
IN
Other
Enumeration date
12/12/2022
Last updated
12/21/2023
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