Provider Demographics
NPI:1366466575
Name:BROWN, KRISTINA T (OTR/L)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:T
Last Name:BROWN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RAF ALCONBURY BOX 95
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:CAMBS
Mailing Address - Zip Code:PE28 4DA
Mailing Address - Country:GB
Mailing Address - Phone:148-084-5567
Mailing Address - Fax:
Practice Address - Street 1:423RD MEDICAL FLGIHT- EDIS
Practice Address - Street 2:UNIT 5610 BOX 223 RAF UPWOOD
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:PE28 4DA
Practice Address - Country:GB
Practice Address - Phone:0148-084-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 4950171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor