Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME0075871 | FL |
NPI | 1003802034 |
---|---|
Provider Name | Dr. Kathleen D Brown |
First Address | Tampa, FL 33622-5317 |
Second Address | Tampa, FL 33607-6330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 23/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259356400 | (05) | FL |
G86558 | (02) | FL |