Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 23639 | WV |
Y | 2086S0102X | Surgical Critical Care | 46179 | KY |
NPI | 1083750681 |
---|---|
Provider Name | Dr. Aaron Lee Brown |
First Address | Pikeville, KY 41502-0432 |
Second Address | Pikeville, KY 41501-1689 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64126030 | (05) | KY |