Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 2770 | MN |
N | 111NN1001X | Nutrition | 2770 | MN |
NPI | 1083750475 |
---|---|
Provider Name | Dr. Kristin Ann Brown |
First Address | Richfield, MN 55423-1125 |
Second Address | Richfield, MN 55423-1125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |