Brown, Kylie

Brown, Kylie is an individual health care provider with primary practice located at 3025 S Kenneth Pl , Tempe AZ 85282-3942. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Eye and Vision Services Providers / Ocularist. Eye and Vision Services Providers / Ocularist is her primary health care specialty. Brown, Kylie can be contacted via phone (480) 264-3041.

Contact Information

Primary practice address
3025 S Kenneth Pl Tempe AZ 85282-3942
Fax:
Website:

Health care specialties

Profile Details

NPI number 1811505795
LBN Legal business name Brown, Kylie
Credentials BCO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2020
Last updated Jul 16th, 2020 - about 4 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 1811505795 NPPES
Arizona MEDICAID 374205

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