| Brown Physician Group Pllc | |
|
535 W Second St Ste 101 Lexington KY 40508-1275 | |
| (859) 687-6595 | |
| (859) 403-3015 |
| Full Name | Brown Physician Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 535 W Second St Ste 101, Lexington, Kentucky |
| Authorized Official Name and Position | Cady Brown (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8596876595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Physician Group Pllc 318 S Mill St Lexington KY 40508-2532 Ph: (859) 687-6595 | Brown Physician Group Pllc 535 W Second St Ste 101 Lexington KY 40508-1275 Ph: (859) 687-6595 |
| NPI Number | 1801372750 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 2567713381 |
|---|---|
| Medicare Enrollment ID | O20180918002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801372750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Kentucky) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Ryan R Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558651224 PECOS PAC ID: 0244457711 Enrollment ID: I20150807014600 |
| Provider Name | Cady M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497045819 PECOS PAC ID: 4183849706 Enrollment ID: I20150812007803 |
| Provider Name | Katherine O Kinsel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376924241 PECOS PAC ID: 2567723422 Enrollment ID: I20180621002422 |
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