Kacie M Brown

NPI #1174895833 in Grand Forks Afb, North Dakota

Provider Information

NPI Number: 1174895833
Entity Type: Individual
Name: Kacie M Brown
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jan 27, 2012
Last Updated: Jan 27, 2012

Practice Location

Address: 1113 KORINA AVE UNIT A
City: Grand Forks Afb
State: North Dakota
ZIP Code: 58204-1378
Phone: (614) 499-7950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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