Provider Demographics
NPI:1831363555
Name:BROWN, KRISTY MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 CENTER RD
Mailing Address - Street 2:APT. 3
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2341
Mailing Address - Country:US
Mailing Address - Phone:716-548-5494
Mailing Address - Fax:
Practice Address - Street 1:1402 FRENCH RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4868
Practice Address - Country:US
Practice Address - Phone:716-668-3072
Practice Address - Fax:716-668-3167
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor