| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLY A BROWN | 1053748855 | 2023-11-10 |
Kimberly A Brown [F] graduated in 2013 and primarily specializes in Physician Assistant.
Kimberly A Brown is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053748855. Registration indicates Kimberly A Brown is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| PECOS ID | 1052548625 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Kimberly A Brown PA-C |
| Practice Office Address | 3901 STEWART AVE WAUSAU, WI US |
| Practice Office Telephone | 7159070900 |
| Practice Office Fax | 7158036977 |
| Mailing Address | 3901 STEWART AVE WAUSAU, WI 544013948 US |
| Business Telephone | 7159070900 |
| Business Fax | 7158036977 |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 3162-23
WI |