KELLY MICHELLE BROWN (NPI# 1952397291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952397291 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE BROWN |
| Credential | PA-C |
| Practice Address |
22151 Moross Rd Ste 320 Maternal Fetal Medicine St John Hospital & Medical Cen Detroit MI 48236-2196 |
| Mailing Address |
1375 N Main St Lapeer MI 48446-1350 |
| Practice Telephone | 3133437773 |
| Practice Fax Number | 3133437072 |
| Mailing Telephone | 8106675700 |
| Mailing Fax Number | 8106675988 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004269 | MI | Physician Assistants & Advanced Practice Nursing 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 |
| 1013424407 | Kelly Kriston Brown | Psychologist | 4004 Chestnut Dr W, University Place, WA 98466-1522 | 2018-01-07 |
| 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 |
| Street Address |
22151 MOROSS RD STE 320 MATERNAL FETAL MEDICINE ST JOHN HOSPITAL & MEDICAL CEN |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831340355 | Antonia L Navarro | Physician Assistant | University Physician Group Oncology, 4100 John R, Detroit, MI 48201-2013 | 2008-10-02 |
| 1104974443 | Amy B Oatfield | Physician Assistant | Henry Ford Hospital Trauma and Critical Care Cfp-1, 2799 West Grand Blvd, Detroit, MI 48202 | 2007-01-05 |
| 1295750677 | Ingrid Dominic Mitchell | Physician Assistant | 18254 Livernois Ave Ste 1, Detroit, MI 48221-4214 | 2006-07-13 |
| 1467067975 | Jerrica Clemens | Physician Assistant | 4100 Woodward Ave, Detroit, MI 48201-2173 | 2020-09-11 |
| 1679195176 | Shane Michael Dignan | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2020-05-07 |
| 1174154843 | Weston Alexander Davis | Physician Assistant | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-01-30 |
| 1689225443 | Alaa Eddin Tahboub | Physician Assistant | 4771 Michigan Ave, Detroit, MI 48210-9718 | 2019-09-24 |
| 1609338367 | Aanchal Bhojwani | Physician Assistant | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-04-02 |
| 1952883068 | Jeremy Lynn Herzberg | Physician Assistant | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2018-09-05 |
| 1124508122 | Chadius M Milton | Physician Assistant | 18254 Livernois Ave Ste 1, Detroit, MI 48221 | 2018-08-19 |
| Find all providers in DETROIT | ||||
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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.