Provider Demographics
NPI:1649802679
Name:BROWN, AMEE RENAE
Entity type:Individual
Prefix:
First Name:AMEE
Middle Name:RENAE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 E 570 RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS
Mailing Address - State:OK
Mailing Address - Zip Code:74347-1620
Mailing Address - Country:US
Mailing Address - Phone:918-868-4779
Mailing Address - Fax:
Practice Address - Street 1:9225 E 570 RD
Practice Address - Street 2:
Practice Address - City:KANSAS
Practice Address - State:OK
Practice Address - Zip Code:74347-1620
Practice Address - Country:US
Practice Address - Phone:918-868-4779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management