Provider Demographics
NPI:1528600814
Name:BROWN, CAMERON YOHO (DO)
Entity Type:Individual
Prefix:MRS
First Name:CAMERON
Middle Name:YOHO
Last Name:BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:CAMERON
Other - Middle Name:RENEE
Other - Last Name:YOHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2919 WINTERS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25702-1228
Mailing Address - Country:US
Mailing Address - Phone:304-771-2653
Mailing Address - Fax:
Practice Address - Street 1:2919 WINTERS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-1228
Practice Address - Country:US
Practice Address - Phone:304-771-2653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV003690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist