NPI 1114984028 · live from the CMS NPI Registry
Kaydee E Brown, LD
Dietitian, Registered in Fridley, MN. National Provider Identifier 1114984028, active.
NPI record
| NPI | 1114984028 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6341 University Ave Ne, Fridley, MN 55432 |
| Practice phone | 763-586-5844 |
| Enumerated | April 26, 2006 |
| Last updated | October 20, 2011 |
| Sole proprietor | No |
| Other names | Kaydee Wick |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2936 (MN) |
| Dietitian, Registered | 133V00000X | 1807 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.