Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 1197 | NV |
NPI | 1003929993 |
---|---|
Provider Name | Dr. Keith Brown |
First Address | Reno, NV 89502-2597 |
Second Address | Reno, NV 89502-2597 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 13/12/2010 |