Provider Demographics
NPI:1275837486
Name:BROWN, KEVIN CARTER (MA)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:CARTER
Last Name:BROWN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 S CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-5711
Mailing Address - Country:US
Mailing Address - Phone:303-501-6270
Mailing Address - Fax:
Practice Address - Street 1:4551 S CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-5711
Practice Address - Country:US
Practice Address - Phone:303-501-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health