Provider Demographics
NPI:1427363126
Name:BROWN, KAREN LYN
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYN
Last Name:BROWN
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 1:4610 EUBANK BLVD NE
Mailing Address - Street 2:APT. #616
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2553
Mailing Address - Country:US
Mailing Address - Phone:508-479-6996
Mailing Address - Fax:
Practice Address - Street 1:4610 EUBANK BLVD NE
Practice Address - Street 2:APT. #616
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2553
Practice Address - Country:US
Practice Address - Phone:508-479-6996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services