Provider Demographics
NPI:1164546511
Name:BROWN, KATHRYN LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 18TH ST
Mailing Address - Street 2:J102
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-8067
Mailing Address - Country:US
Mailing Address - Phone:360-671-6210
Mailing Address - Fax:360-734-9392
Practice Address - Street 1:1932 18TH ST
Practice Address - Street 2:J102
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-8067
Practice Address - Country:US
Practice Address - Phone:360-671-6210
Practice Address - Fax:360-734-9392
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00053167163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health