Kynan Alexander Brown
Kynan Alexander Brown is a Student in an Organized Health Care Education/Training Program in Bloomington, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
Bloomington, ILNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 702 W Chestnut St, Bloomington, IL 61701-2814 — (309) 557-1400
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1609505221 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2022 |
| Last updated in NPPES | March 22, 2024 |
| Certification date | March 22, 2024 |
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