NPI 1174895833 · live from the CMS NPI Registry
Kacie M Brown
Physician Assistant in Grand Forks Afb, ND. National Provider Identifier 1174895833, active.
NPI record
| NPI | 1174895833 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204 |
| Practice phone | 614-499-7950 |
| Enumerated | January 27, 2012 |
| Last updated | January 27, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.