Individual provider · Type 1 NPI

Kynan Alexander Brown

Student in an Organized Health Care Education/Training Program · Bloomington, IL

NPI number 1609505221 Active

Practice location

2200 E Washington St
Bloomington, IL 61701-4364

Call (309) 665-5996 Map

Fax (309) 662-7143

Other practice locations

  • 702 W Chestnut St, Bloomington, IL 61701-2814 · (309) 557-1400

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609505221

Kynan Alexander Brown's National Provider Identifier is 1609505221, issued on Jun 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 22, 2024.