Brown, Mikki S

Brown, Mikki S is an individual health care provider with primary practice located at 135 W Ravine Rd Ste 5-B, Kingsport TN 37660-3847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brown, Mikki S can be contacted via phone (423) 224-3460.

Contact Information

Primary practice address
135 W Ravine Rd Ste 5-B Kingsport TN 37660-3847
Phone: (423) 224-3460
Fax: (423) 224-3465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9533 Tennessee

Profile Details

NPI number 1164416137
LBN Legal business name Brown, Mikki S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1164416137 NPPES
Kentucky MEDICAID 74346818
Kentucky Other 00013859
Kentucky MEDICAID 3607743
Kentucky Other 3046113
Kentucky MEDICAID 0221910000
Kentucky Other 261963
Kentucky Other TN0100

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