Provider Demographics
NPI:1316180367
Name:BROWNING, KELLY ALEXANDER
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ALEXANDER
Last Name:BROWNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 LAKESHORE CIR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8921
Mailing Address - Country:US
Mailing Address - Phone:859-576-7782
Mailing Address - Fax:
Practice Address - Street 1:317 LAKESHORE CIR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8921
Practice Address - Country:US
Practice Address - Phone:859-576-7782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator