Brown, Kevin Nathaniel

Brown, Kevin Nathaniel is an individual health care provider with primary practice located at 560 S Maple St Ste 400 , Waconia MN 55387-1757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Brown, Kevin Nathaniel can be contacted via phone (952) 442-8011.

Contact Information

Primary practice address
560 S Maple St Ste 400 Waconia MN 55387-1757
Phone: (952) 442-8011
Fax: (952) 442-7852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 200700752 North Carolina
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 16308 Minnesota

Profile Details

NPI number 1194870634
LBN Legal business name Brown, Kevin Nathaniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 2nd, 2018 - about 6 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 1194870634 NPPES
North Carolina Other P00417871 RAILROAD MEDICARE
North Carolina MEDICAID 5907716 RAILROAD MEDICARE

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