Brown, Gary Kenna
Brown, Gary Kenna is an sole proprietor health care provider with primary practice located at 990 Oak Ridge Tpke , Oak Ridge TN 37830-6976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brown, Gary Kenna can be contacted via phone (865) 742-5718.Contact Information
Primary practice address
990 Oak Ridge Tpke
Oak Ridge TN 37830-6976
Phone: (865) 742-5718
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34586 | Tennessee |
Profile Details
| NPI number | 1205979655 |
|---|---|
| LBN Legal business name | Brown, Gary Kenna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205979655 | NPPES |
| Tennessee | MEDICAID | 5440133 |
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