Provider Demographics
NPI:1164043345
Name:BROWN, ALEEYA (CNA)
Entity Type:Individual
Prefix:
First Name:ALEEYA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 PATRICIA LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-1132
Mailing Address - Country:US
Mailing Address - Phone:859-618-5681
Mailing Address - Fax:
Practice Address - Street 1:1008 PATRICIA LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1132
Practice Address - Country:US
Practice Address - Phone:859-618-5681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0000000000Medicaid