Provider Demographics
NPI:1801421664
Name:BROWN, KIRSTEN (NP)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 BRISTOL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2529
Mailing Address - Country:US
Mailing Address - Phone:502-320-0755
Mailing Address - Fax:
Practice Address - Street 1:125 E MAXWELL ST STE 140
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-2678
Practice Address - Country:US
Practice Address - Phone:859-323-0005
Practice Address - Fax:859-323-0790
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27070363LW0102X
KY3014434363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health