Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD066459L | PA |
NPI | 1730113838 |
---|---|
Provider Name | Dr. Karen Leigh Brown |
First Address | State College, PA 16803-6706 |
Second Address | State College, PA 16803-6706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 01/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G94438 | (02) |