Provider Demographics
NPI:1962219295
Name:BROWER, KERRY (IHP)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:BROWER
Suffix:
Gender:F
Credentials:IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4264 BARTH LN
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1307
Mailing Address - Country:US
Mailing Address - Phone:937-475-4741
Mailing Address - Fax:
Practice Address - Street 1:4264 BARTH LN
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1307
Practice Address - Country:US
Practice Address - Phone:937-475-4741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach