Provider Demographics
NPI:1588831523
Name:BROWN, YEKATERINA O (DO)
Entity Type:Individual
Prefix:DR
First Name:YEKATERINA
Middle Name:O
Last Name:BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:426 8TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:GLEN DALE
Mailing Address - State:WV
Mailing Address - Zip Code:26038-1451
Mailing Address - Country:US
Mailing Address - Phone:304-905-9634
Mailing Address - Fax:304-905-1369
Practice Address - Street 1:426 8TH ST STE 201
Practice Address - Street 2:
Practice Address - City:GLEN DALE
Practice Address - State:WV
Practice Address - Zip Code:26038-1451
Practice Address - Country:US
Practice Address - Phone:304-905-9634
Practice Address - Fax:304-905-1369
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2022-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV2439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine