Doctor Name: | DR. KATHLEEN LAIRD BROWN |
NPI Number: | 1073946737 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 18420 |
Business Practice Address: | 2403 Allison Rd Beaufort, SC - 299025923 |
Business Phone Number: | 8435241078 |
Business Fax Number: | |
Mailing Address: | 2403 Allison Rd, BEAUFORT |
State: | SC |
Postal Code: | 299025923 |
Phone Number: | 8435241078 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 18420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |