Individual provider · Type 1 NPI

Kanisha Brown

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1891647665 Active

Practice location

1700 Mchenry Village Way Ste 11B
Modesto, CA 95350-4341

Call (209) 550-5869 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Adult Companion 372600000XNone 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 1891647665

Kanisha Brown's National Provider Identifier is 1891647665, issued on Feb 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Apr 13, 2026.