Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 2901022682 | MI |
NPI | 1568958304 |
---|---|
Provider Name | Dr. Brittany N Brown |
First Address | Kalamazoo, MI 49007-2557 |
Second Address | Kalamazoo, MI 49001-6144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2018 |
Last Update Date | 05/07/2018 |