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

KACIE M BROWN

Active Sole Proprietor

KACIE M BROWN is a Physician Assistant healthcare provider located in GRAND FORKS AFB, North Dakota. NPI 1174895833 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND FORKS AFB, ND

Registration Details

NPI Number
1174895833
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2012 (14.541661375661 yrs)
Last Updated
Jan 27, 2012
Sole Proprietor
Yes

Practice Information

Address
1113 KORINA AVE UNIT A
GRAND FORKS AFB, ND, 582041378
Browse ND providers · Browse ZIP 58204
Phone
6144997950
Primary Specialty
Physician Assistant
363A00000X
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.