Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLYRAE BROWN
Active Sole ProprietorKELLYRAE BROWN is a Contractor healthcare provider located in FOLSOM, California. NPI 1689072316 is currently active in the NPPES registry. Verify at CMS.
Contractor · FOLSOM, CA
Registration Details
- NPI Number
- 1689072316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2014 (11.69333711347 yrs)
- Last Updated
- Dec 11, 2014
- License
-
55213 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 PRAIRIE CITY RDFOLSOM, CA, 956309501Browse CA providers · Browse ZIP 95630
- Phone
- 9163708154
- Primary Specialty
-
Contractor
171W00000X
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.