Doctor Name: | DR. KEVIN BURRISS BROWN |
NPI Number: | 1548340441 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D. C. |
License Number: | 23216 |
Business Practice Address: | 950 Aviation Blvd Suite K Hermosa Beach, CA - 902544010 |
Business Phone Number: | 3103186654 |
Business Fax Number: | 3103799631 |
Mailing Address: | 950 Aviation Blvd, Suite K HERMOSA BEACH |
State: | CA |
Postal Code: | 902544010 |
Phone Number: | 3103186654 |
Fax Number: | 3103799631 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 23216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |