Provider Demographics
NPI:1457671174
Name:BROWN, KIRSTIN ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:KIRSTIN
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2925 CHICAGO AVENUNE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:225 SMITH AVE N
Practice Address - Street 2:SUITE 501
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2533
Practice Address - Country:US
Practice Address - Phone:651-241-4862
Practice Address - Fax:651-726-6201
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN57699207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine