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Individual

MRS. CAROLYN E BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
121 HOSPITAL DR, SALEM, KY 42078-8043
(270) 988-7213
(270) 988-2199
Mailing address
139 HIGHLAND DR, MADISONVILLE, KY 42431-9154
(270) 825-2158
(270) 825-1277

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000361
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000178635
PROVIDER ID BLUE CROSS BL
KY
05
8700020400
KY
Enumeration date
05/23/2006
Last updated
07/09/2007
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