DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANUEL L BROWN JR., M.D.

Active

MANUEL L BROWN JR., M.D. is a Adolescent Medicine healthcare provider located in FAIRDALE, Kentucky. NPI 1114052677 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · FAIRDALE, KY

Registration Details

NPI Number
1114052677
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2007 (19.489104696965 yrs)
Last Updated
May 5, 2017
Licenses
16772 (KY)
16772 (KY)

Practice Information

Address
1000 NEIGHBORHOOD PL
FAIRDALE, KY, 401189697
Browse KY providers · Browse ZIP 40118
Phone
8122188926
Fax
8122188930
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.