Provider Demographics
NPI:1265087068
Name:BROWN, KATRINA L (LMSW)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 E THORPE ST
Mailing Address - Street 2:KEARNY COUNTY HOSPITAL DBA FAMILY HEALTH
Mailing Address - City:LAKIN
Mailing Address - State:KS
Mailing Address - Zip Code:67860
Mailing Address - Country:US
Mailing Address - Phone:620-355-7550
Mailing Address - Fax:
Practice Address - Street 1:506 E THORPE ST
Practice Address - Street 2:KEARNY COUNTY HOSPITAL DBA FAMILY HEALTH
Practice Address - City:LAKIN
Practice Address - State:KS
Practice Address - Zip Code:67860
Practice Address - Country:US
Practice Address - Phone:620-355-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7688104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker