Provider Demographics
NPI:1447671458
Name:BROWN, KAREN JO (CNA, CPM, CLC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JO
Last Name:BROWN
Suffix:
Gender:F
Credentials:CNA, CPM, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WOODDUCK LN
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-9256
Mailing Address - Country:US
Mailing Address - Phone:859-494-7481
Mailing Address - Fax:
Practice Address - Street 1:501 WOODDUCK LN
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9256
Practice Address - Country:US
Practice Address - Phone:859-494-7481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X, 175M00000X, 374J00000X
KY50109536376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula
No376K00000XNursing Service Related ProvidersNurse's Aide