Provider Demographics
NPI:1194472605
Name:BROWN, KIANA CHEVONNE (RN)
Entity Type:Individual
Prefix:MS
First Name:KIANA
Middle Name:CHEVONNE
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 1:1047 TOOK PL
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6491
Mailing Address - Country:US
Mailing Address - Phone:843-799-4014
Mailing Address - Fax:843-799-5611
Practice Address - Street 1:1047 TOOK PL
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6491
Practice Address - Country:US
Practice Address - Phone:843-799-4014
Practice Address - Fax:843-799-5611
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC235320163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse