Karen G Brown, RN

Individual provider Active NPI Licensed Practical Nurse · Christopher, IL

NPI 1124197264 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124197264
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
Practice address
Rea Clinic
4241 Highway 14 West
Christopher, IL 62822
Phone
(618) 724-2401
Fax
(618) 724-2571
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041293676ILMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X IL Yes

Addresses

Primary practice location

Rea Clinic
4241 Highway 14 West
Christopher, IL 62822

Mailing address

Rea Clinic
PO Box 155
Christopher, IL 62822
Phone (618) 724-2401

Other providers in Christopher, IL

All providers in Christopher, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.