Provider Demographics
NPI:1952461451
Name:BROWN, RODNEY SIDNEY (DC)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:SIDNEY
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6003 PLEASANT COLONY CT STE 1
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8679
Mailing Address - Country:US
Mailing Address - Phone:502-243-3334
Mailing Address - Fax:502-243-9786
Practice Address - Street 1:6003 PLEASANT COLONY CT
Practice Address - Street 2:SUITE 1
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-8678
Practice Address - Country:US
Practice Address - Phone:502-243-3334
Practice Address - Fax:502-243-9786
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4872111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5750997OtherCIGNA
1225358559OtherGROUP NPI CRESTWOOD
KYAETNAOther3616925
KY664903OtherACN
KY000000355356OtherANTHEM
KY000000355356OtherANTHEM
1225358559OtherGROUP NPI CRESTWOOD
KYAETNAOther3616925
1225358559OtherGROUP NPI CRESTWOOD
KY1447478409OtherGROUP NPI