Douglas Kiley Brown II, ATC

NPI #1609566991 in Germantown, Wisconsin

Provider Information

NPI Number: 1609566991
Entity Type: Individual
Name: Douglas Kiley Brown II, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC
Enumeration Date: May 10, 2023
Last Updated: May 10, 2023

Practice Location

Address: N101W17532 MISTY MORNING WAY
City: Germantown
State: Wisconsin
ZIP Code: 53022
Phone: (979) 255-9661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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