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Kynan Alexander Brown
Student in an Organized Health Care Education/Training Program in Bloomington, Illinois
NPI 1609505221

Kynan Alexander Brown is a Student in an Organized Health Care Education/Training Program based in Bloomington, IL. Kynan Alexander Brown practices in Bloomington, IL. The NPI Number for Kynan Alexander Brown is 1609505221 and holds a License No. (Illinois).

The current practice location address for Kynan Alexander Brown is 2200 E Washington St, Bloomington, IL and can be reached out via phone at 309-665-5996 and via fax at 309-662-7143.

Location: 2200 E Washington St, Bloomington, IL, 61701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609505221
Provider Name
Kynan Alexander Brown
Credential
Provider Entity Type
Individual
Gender
Male
Address
2200 E Washington St, Bloomington, IL, 61701
Phone Number
309-665-5996
Fax Number
309-662-7143
Provider Enumeration Date
06/08/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2200 E Washington St
City
Bloomington
State
Illinois
Zip
61701-4364
Phone Number
309-665-5996
Fax Number
309-662-7143
person
Provider Business Mailing Address Details
Address
2200 E Washington St
City
Bloomington
State
Illinois
Zip
61701-4364
Phone Number
309-665-5996
Fax Number
309-662-7143
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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