Provider Demographics
NPI:1720289267
Name:KINDRA S. BROWNING, DO CORPORATION
Entity Type:Organization
Organization Name:KINDRA S. BROWNING, DO CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KINDRA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-343-1144
Mailing Address - Street 1:155 MCDONALD DRIVE SW
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663
Mailing Address - Country:US
Mailing Address - Phone:330-343-1144
Mailing Address - Fax:330-308-8016
Practice Address - Street 1:155 MCDONALD DRIVE SW
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663
Practice Address - Country:US
Practice Address - Phone:330-343-1144
Practice Address - Fax:330-308-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH34007683207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2918418Medicaid
OHKI9353691Medicare PIN