Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 11-1244 | AZ |
Y | 175F00000X | Naturopath | 44 | CO |
NPI | 1134492515 |
---|---|
Provider Name | Dr. Kurtis Brown |
First Address | Colorado Springs, CO 80904-4204 |
Second Address | Colorado Springs, CO 80904-4204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2012 |
Last Update Date | 17/08/2016 |