Provider Demographics
NPI:1972650125
Name:BROWN, KATHY J (CPM)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:OH
Mailing Address - Zip Code:44890-9757
Mailing Address - Country:US
Mailing Address - Phone:567-224-1101
Mailing Address - Fax:
Practice Address - Street 1:366 FREE RD
Practice Address - Street 2:
Practice Address - City:SHILOH
Practice Address - State:OH
Practice Address - Zip Code:44878-8818
Practice Address - Country:US
Practice Address - Phone:567-224-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife