Provider Demographics
NPI:1245948348
Name:BROWN, KAITLYN NICOL (BCHHP, BCND)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:NICOL
Last Name:BROWN
Suffix:
Gender:F
Credentials:BCHHP, BCND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 FM 2457
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-0578
Mailing Address - Country:US
Mailing Address - Phone:936-239-8189
Mailing Address - Fax:
Practice Address - Street 1:3014 FM 2457
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-0578
Practice Address - Country:US
Practice Address - Phone:936-239-8189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath