Brown, Kevin Douglas

Brown, Kevin Douglas is an individual health care provider with primary practice located at 2828 1St Ave 400, Huntington WV 25702-1236. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brown, Kevin Douglas can be contacted via phone (304) 525-6905.

Contact Information

Primary practice address
2828 1St Ave 400 Huntington WV 25702-1236
Phone: (304) 525-6905
Fax: (304) 525-6154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001001A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00282 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 10396 West Virginia

Profile Details

NPI number 1811968555
LBN Legal business name Brown, Kevin Douglas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 5th, 2022 - about 3 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 1811968555 NPPES
West Virginia Other 1699732214 GROUP NPI
West Virginia MEDICAID 3810009292 GROUP NPI

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