KAITLYN T BROWN (NPI# 1255974655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255974655 |
| Entity Type | Individual |
| Full Name | KAITLYN T BROWN |
| Credential | PA-C |
| Practice Address |
808 Farrar Drive Conway SC 29526-8747 |
| Mailing Address |
300 Singleton Ridge Road Attention Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8433477300 |
| Practice Fax Number | 8433478459 |
| Mailing Telephone | 8432346946 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3617 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5956 W Johnston Rd, Conway, SC 295276109 | 8439951455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821454885 | Kaitlyn Brown | Specialist/Technologist | 1693 La Costa Dr, Marysville, OH 43040-7026 | 2016-01-06 |
| 1982040846 | Kaitlyn Martha Brown | Physical Therapist | 1338 Ritter Drive, Daniels, WV 25832 | 2013-05-20 |
| 1346872348 | Kaitlyn Brown | Physician Assistant | 12341 Strickland Rd Ste 102, Raleigh, NC 27613-1274 | 2020-02-07 |
| 1689213209 | Kaitlyn Brown | Counselor | 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571 | 2019-12-30 |
| 1033677000 | Kaitlyn Pate Brown | Nurse Practitioner | 3823 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2019-03-07 |
| 1538633938 | Kaitlyn Brown | Nurse Anesthetist, Certified Registered | 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 | 2019-01-18 |
| 1780162214 | Kaitlyn Elizabeth Brown | Occupational Therapist | 7560 Forest Rd, Cincinnati, OH 45255-4307 | 2018-08-06 |
| 1346731718 | Kaitlyn Marie Brown | Physical Therapist | 1188 W University Dr, Boise, ID 83706-3009 | 2018-05-22 |
| 1609377019 | Kaitlyn Elizabeth Brown | Physical Therapist | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2018-02-22 |
| 1851817217 | Kaitlyn Anne Brown | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2017-08-17 |
| Street Address |
808 FARRAR DRIVE |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
| 1639641947 | Molly M Lensing | Physician Assistant | 812 Oak St, Conway, AR 72032-4408 | 2018-12-27 |
| 1942671730 | Courtney Layne Mosley | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2015-10-19 |
| 1316338684 | Alexandra Savenka | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2015-02-09 |
| 1326468059 | Savannah Bradbury | Physician Assistant | 550 Club Ln, Suite1, Conway, AR 72034-3681 | 2014-04-21 |
| 1831526615 | Ashley Allen | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2013-10-11 |
| 1588903694 | Cecilia Mai Reyes | Physician Assistant | 1014 Harkrider St Ste B, Conway, AR 72032-4471 | 2013-02-08 |
| 1508127911 | Erin Stewart Floyd | Physician Assistant | 1301 Creel St, Conway, SC 29527-5018 | 2012-06-01 |
| 1467779868 | Kristin Bland Richardson | Physician Assistant | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2010-04-23 |
| Find all providers in CONWAY | ||||
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| 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.