Kevin F Brown DO LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

005311 Issued in AZ

Legal business name

KEVIN F BROWN DO LLC

Practice address

3700 N Windsong Dr
Prescott Valley, AZ 86314-1253

Phone

(623) 200-2397

Fax

(818) 671-2225

NPI assigned

Jan 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Narguess A Dadfar, MA

Title

Adminstrator

Phone

(818) 518-7226

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1669980272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21419 N. PALM DESERT",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141253",
            "telephone_number": "623-200-2397",
            "fax_number": "818-671-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN F BROWN DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "DADFAR",
        "authorized_official_first_name": "NARGUESS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "818-518-7226",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "005311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "005311",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.