Individual
KAELIN ANTHONY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
30230 RANCHO VIEJO RD STE 200, SAN JUAN CAPISTRANO, CA 92675
(949) 443-4303
Mailing address
20742 SHADOW ROCK LN, TRABUCO CANYON, CA 92679-3349
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009312
CA
Other
Enumeration date
06/28/2018
Last updated
08/28/2018
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