Provider Demographics
NPI:1912492786
Name:BROWN, CHELSEA (DVM)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6309 HIGHWAY 5 N
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-8506
Mailing Address - Country:US
Mailing Address - Phone:501-943-8055
Mailing Address - Fax:501-943-8056
Practice Address - Street 1:6309 HIGHWAY 5 N
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-8506
Practice Address - Country:US
Practice Address - Phone:501-943-8055
Practice Address - Fax:501-943-8056
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2828208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty