Brown, Keonna Lashawn

Brown, Keonna Lashawn is an sole proprietor health care provider with primary practice located at 720 W Cheyenne Ave Suite #30, North Las Vegas NV 89030-7807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brown, Keonna Lashawn can be contacted via phone (702) 900-7397.

Contact Information

Primary practice address
720 W Cheyenne Ave Suite #30 North Las Vegas NV 89030-7807
Phone: (702) 900-7397
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1841550282
LBN Legal business name Brown, Keonna Lashawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2012
Last updated May 18th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841550282 NPPES
Nevada MEDICAID 45-3558217

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