Kellease Cw Brown
Pediatric Emergency Physician
800 Prudential Dr
Jacksonville
, Florida 32207-8202
Kellease Cw Brown
Pediatric Emergency Physician
800 Prudential Dr
Jacksonville
, Florida 32207-8202
(843) 991-3022
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Kellease Cw Brown
- 9800 Touchton Rd Apt 1228
- Jacksonville, FL
- Zip : 32246-8296
- Phone : (843) 991-3022
Second Address
- Kellease Cw Brown
- 800 Prudential Dr
- Jacksonville, FL
- Zip : 32207-8202
- Phone : (843) 991-3022
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FAQs
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Is Kellease Cw Brown a sole practitioner?
Is Kellease Cw Brown accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | ME 119244 | FL |
National Provider Identifier
| NPI | 1316109879 |
|---|---|
| Provider Name | Kellease Cw Brown |
| First Address | Jacksonville, FL 32246-8296 |
| Second Address | Jacksonville, FL 32207-8202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2008 |
| Last Update Date | 23/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.