Provider Demographics
NPI:1407626856
Name:BROWN-BASS, KINAYA ASHA
Entity Type:Individual
Prefix:
First Name:KINAYA
Middle Name:ASHA
Last Name:BROWN-BASS
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 1:13 LINWOOD SQ
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-1544
Mailing Address - Country:US
Mailing Address - Phone:857-294-2456
Mailing Address - Fax:
Practice Address - Street 1:13 LINWOOD SQ
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1544
Practice Address - Country:US
Practice Address - Phone:857-294-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula