Provider Demographics
NPI:1629289624
Name:BROWN, KIRSTEN MARIE (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1828 TANNER RD
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-9554
Mailing Address - Country:US
Mailing Address - Phone:859-322-9594
Mailing Address - Fax:859-818-0890
Practice Address - Street 1:71 CAVALIER BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-5121
Practice Address - Country:US
Practice Address - Phone:859-322-9594
Practice Address - Fax:859-818-0890
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY134375225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist