Gina R Brown

Individual provider Active NPI Radiation Oncology Physician · Kearney, NE

NPI 1285258558 · NPPES record last updated Jun 2, 2020

Key facts

NPI
1285258558
Entity type
Individual (NPI type 1)
Primary specialty
Radiation Oncology Physician 2085R0001X
License
239497 (NE)
Practice address
104 W 33Rd St
Kearney, NE 68847-2959
Phone
(308) 865-7985
NPI assigned
Jun 2, 2020
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

State licenses

LicenseStateTypeSpecialty
239497NEMDRadiation Oncology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 239497 NE Yes

Addresses

Primary practice location

104 W 33Rd St
Kearney, NE 68847-2959

Mailing address

104 W 33Rd St
Kearney, NE 68847-2959
Phone (308) 865-7985

Other providers in Kearney, NE

All providers in Kearney, NE · Radiation Oncology Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.