Provider Demographics
NPI:1700582673
Name:BROWN, KAYLYN M (NP)
Entity Type:Individual
Prefix:
First Name:KAYLYN
Middle Name:M
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:3860 S STRAITS HWY
Mailing Address - Street 2:
Mailing Address - City:INDIAN RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49749-5146
Mailing Address - Country:US
Mailing Address - Phone:231-238-0581
Mailing Address - Fax:231-238-0856
Practice Address - Street 1:3860 S STRAITS HWY
Practice Address - Street 2:
Practice Address - City:INDIAN RIVER
Practice Address - State:MI
Practice Address - Zip Code:49749-5146
Practice Address - Country:US
Practice Address - Phone:231-238-0581
Practice Address - Fax:231-238-0856
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704343893163W00000X
MI4704343893NSA2301Y363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse