| Doctor Name: | MS. KENNISHA BROWN |
| NPI Number: | 1467702472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1011-1871 |
| Business Practice Address: | 1240 Nw Avenue B Apt 1 Belle Glade, FL - 334302888 |
| Business Phone Number: | 5614493779 |
| Business Fax Number: | |
| Mailing Address: | Po Box 561, BELLE GLADE |
| State: | FL |
| Postal Code: | 334300561 |
| Phone Number: | 5614493779 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2012 |
| NPI Last Update Date: | 09/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | 1011-1871 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |