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NPI Profile for MANUEL L BROWN JR in FAIRDALE, KY.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice |
| NPI Number | 1114052677 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 02/23/2007 | |
| Last updated | 05/05/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MANUEL L BROWN JR
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MANUEL L BROWN JR, MD