Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 3003046 | KY |
NPI | 1023030350 |
---|---|
Provider Name | Leann S Brown |
First Address | Mc Kee, KY 40447-7089 |
Second Address | Richmond, KY 40475-3839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 08/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
78005493 | (05) | KY |