Brown, Mary G
Brown, Mary G is an individual health care provider with primary practice located at 740 S Limestone Ste B101 , Lexington KY 40536-6514. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brown, Mary G can be contacted via phone (859) 323-5661.Contact Information
Primary practice address
740 S Limestone Ste B101
Lexington KY 40536-6514
Phone: (859) 323-5661
Fax: (859) 323-6411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA642 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA642 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA642 | Kentucky |
Profile Details
| NPI number | 1457389496 |
|---|---|
| LBN Legal business name | Brown, Mary G |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Apr 29th, 2024 - about last year |
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 | 1457389496 | NPPES |
| Kentucky | MEDICAID | 95002408 |
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