Doctor Name: | KIMBERLY JOAN BROWN |
NPI Number: | 1013286020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A-061920 |
Business Practice Address: | 1005 Pennsylvania Ave Ste 104 Ottumwa, IA - 525016413 |
Business Phone Number: | 6416824594 |
Business Fax Number: | 6416822123 |
Mailing Address: | Po Box 1475, DES MOINES |
State: | IA |
Postal Code: | 503051475 |
Phone Number: | 6416824594 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2011 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-061920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |