Provider Demographics
NPI:1710160890
Name:BROWN, KELLY LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:LYNN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KELLY
Other - Middle Name:BROWN
Other - Last Name:STARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3227 EST GOLDEN ROCK
Mailing Address - Street 2:SUITE #1 & 2
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4330
Mailing Address - Country:US
Mailing Address - Phone:340-718-2663
Mailing Address - Fax:340-718-2664
Practice Address - Street 1:3227 EST GOLDEN ROCK
Practice Address - Street 2:SUITE #1 & 2
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4330
Practice Address - Country:US
Practice Address - Phone:340-718-2663
Practice Address - Fax:340-718-2664
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI46111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor