Provider Demographics
NPI:1710794813
Name:BROWN, KAMIKA N (CPM)
Entity type:Individual
Prefix:
First Name:KAMIKA
Middle Name:N
Last Name:BROWN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 ROCHELLE SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE
Mailing Address - State:VA
Mailing Address - Zip Code:22738-3898
Mailing Address - Country:US
Mailing Address - Phone:540-324-8987
Mailing Address - Fax:
Practice Address - Street 1:29 ROCHELLE SCHOOL LN
Practice Address - Street 2:
Practice Address - City:ROCHELLE
Practice Address - State:VA
Practice Address - Zip Code:22738-3898
Practice Address - Country:US
Practice Address - Phone:540-324-8987
Practice Address - Fax:540-709-8003
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000214176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife