Provider Demographics
NPI:1841427929
Name:BROWN, KRISTIN CURTIS (PA)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:CURTIS
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:206 JOE KNOX AVE
Mailing Address - Street 2:STE F
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7911
Mailing Address - Country:US
Mailing Address - Phone:704-662-6500
Mailing Address - Fax:704-662-6503
Practice Address - Street 1:206 JOE KNOX AVE
Practice Address - Street 2:STE F
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7911
Practice Address - Country:US
Practice Address - Phone:704-763-2551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-01830363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2328654Medicare PIN