Provider Demographics
NPI:1053484832
Name:BROWN, SARA MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:MARIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:MARIA
Other - Last Name:AROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1890 STAR SHOOT PKWY STE 190
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4569
Mailing Address - Country:US
Mailing Address - Phone:859-263-2774
Mailing Address - Fax:859-263-2787
Practice Address - Street 1:1890 STAR SHOOT PKWY STE 190
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-263-2774
Practice Address - Fax:859-263-2787
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY249609111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0719107OtherMEDICARE
KY85003960Medicaid
V07139Medicare UPIN