Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | MW010516 | PA |
NPI | 1063979854 |
---|---|
Provider Name | Kristy Lynn Brownlee |
First Address | Du Bois, PA 15801-2277 |
Second Address | Du Bois, PA 15801-2277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2019 |
Last Update Date | 08/05/2019 |