Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35086684B | OH |
N | 111NI0900X | Internist | 35086684B | OH |
Y | 207RR0500X | Rheumatology | 40951 | KY |
NPI | 1043250343 |
---|---|
Provider Name | Alexander D Brown |
First Address | Lexington, KY 40504-2931 |
Second Address | Lexington, KY 40504-2931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 20/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2604140 | (05) | OH |
3937 | MEDICARE GROUP # (01) | KY |
I42863 | (02) |