Adam Kyle Brownlee

Individual provider Active NPI Nutritionist · Spartanburg, SC

NPI 1306408794 · NPPES record last updated Jul 5, 2019

Key facts

NPI
1306408794
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
Practice address
505 Webber Rd
Spartanburg, SC 29307-3038
Phone
(864) 237-0367
NPI assigned
Jul 5, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Yes

Addresses

Primary practice location

505 Webber Rd
Spartanburg, SC 29307-3038

Mailing address

505 Webber Rd
Spartanburg, SC 29307-3038
Phone (864) 237-0367

Other providers in Spartanburg, SC

All providers in Spartanburg, SC · Nutritionist in South Carolina

Sources for this page

Verify at the official NPI Registry.