Provider Demographics
NPI:1194472605
Name:BROWN, KIANA CHEVONNE (RN ADMINISTRATOR)
Entity type:Individual
Prefix:MS
First Name:KIANA
Middle Name:CHEVONNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1801 W EVANS ST STE D100
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3376
Mailing Address - Country:US
Mailing Address - Phone:843-506-6817
Mailing Address - Fax:888-781-9149
Practice Address - Street 1:1801 W EVANS ST STE D100
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3376
Practice Address - Country:US
Practice Address - Phone:843-506-6817
Practice Address - Fax:888-781-9149
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC235320163WA2000X, 163WC0400X, 171M00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator