DR. KELLY KRISTON BROWN (NPI# 1013424407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013424407 |
Entity Type | Individual |
Full Name | DR. KELLY KRISTON BROWN |
Credential | PHD |
Practice Address |
4004 Chestnut Dr W University Place WA 98466-1522 |
Practice Telephone | 2535036226 |
Mailing Telephone | 2535036226 |
Enumeration Date | 2018-01-07 |
Last Update Date | 2018-01-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | PY60236263 | WA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PY60236263 | WA | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY60236263 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801426200 | Kelly Brown | Technician | 502 Reiten Rd, Kent, WA 98030-6027 | 2020-01-24 |
1669972196 | Kelly Brown | Specialist/Technologist | 3618 Sandy Plains Rd # 200, Marietta, GA 30066-3020 | 2018-02-21 |
1982127312 | Kelly Brown | Licensed Practical Nurse | 555 W 174th St, New York, NY 10033-8203 | 2017-07-18 |
1003336231 | Kelly Kathleen Brown | Counselor | 11919 Grant St Ste 201, Omaha, NE 68164-3475 | 2017-06-20 |
1851838353 | Kelly Brown | Dietitian, Registered | 65 Esplanade, Irvine, CA 92612-1711 | 2017-01-23 |
1063865640 | Kelly Brown | Technician, Other | 7396 Fielding St, Detroit, MI 48228-4614 | 2016-07-19 |
1427455476 | Kelly Ann Brown | Registered Nurse | 10 Tappan Landing Rd Apt 53a, Tarrytown, NY 10591-4840 | 2014-11-19 |
1306120100 | Kelly Kristine Brown | Physical Therapist | 11711 Ne 12th St Ste 3a, Bellevue, WA 98005-2461 | 2011-09-29 |
1235417544 | Kelly Brown | Family Medicine | 801 9th St Nw, Washington, DC 20001-4784 | 2011-08-03 |
1013181098 | Kelly Jo Brown | Chiropractor | 1583 Victor Rd Nw, Lancaster, OH 43130-8039 | 2008-04-21 |
Street Address |
4004 CHESTNUT DR W |
City | UNIVERSITY PLACE |
State | WA |
Zip Code | 98466-1522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
Find all providers in zip 98466 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083198451 | Terry Macdonald | Psychologist | 19125 N Creek Pkwy Ste 115, Bothell, WA 98011-8000 | 2018-09-20 |
1518447630 | Robert Matthew Fontana | Psychologist | 1827 Ne 58th St # B, Seattle, WA 98105-2440 | 2018-08-17 |
1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
1245732288 | Shannon Dubois | Psychologist | 19803 N Creek Pkwy # 205, Bothell, WA 98011-8214 | 2018-03-06 |
1982134714 | John M Gottman | Psychologist | 1689 Spring Point Rd, Deer Harbor, WA 98243-9824 | 2017-06-14 |
1245765650 | Renee St Jacques | Psychologist | 11441 81st Ave Ne, Kirkland, WA 98034-3558 | 2017-04-23 |
1962942409 | Lindsay Huettman | Psychologist | 28128 Florence Acres Rd, Monroe, WA 98272-9574 | 2017-03-02 |
1184160541 | Robin Barre | Psychologist | 421 Lincoln Avenue, Suite A, Mukilteo, WA 98237 | 2017-01-10 |
1144775644 | Lee M. Faver, Phd Pllc | Psychologist | 1220 Main St Ste 4, Vancouver, WA 98660-2953 | 2016-08-25 |
1780053454 | Jessica Renee Mason | Psychologist | 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 | 2015-09-23 |
Find all providers with the same taxonomy |
City | UNIVERSITY PLACE |
Zip Code | 98466 |
Please comment or provide details below to improve the information on DR. KELLY KRISTON BROWN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.