Provider Demographics
NPI:1265635221
Name:BROWER, CARYL KENNEDY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CARYL
Middle Name:KENNEDY
Last Name:BROWER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 SPRING HOUSE CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4305
Mailing Address - Country:US
Mailing Address - Phone:615-370-5638
Mailing Address - Fax:
Practice Address - Street 1:4053 NOLENSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4547
Practice Address - Country:US
Practice Address - Phone:615-627-1282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN095363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical