DR. KENNETH LEONUSE BROWN (NPI# 1770659195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770659195 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEONUSE BROWN |
| Credential | DC |
| Practice Address |
6224 Fayetteville Rd Suite 106b Durham NC 27713-6288 |
| Mailing Address |
6224 Fayetteville Rd Ste 106b Durham NC 27713-6288 |
| Practice Telephone | 9195448881 |
| Practice Fax Number | 9195448889 |
| Mailing Telephone | 9195448881 |
| Mailing Fax Number | 9195448889 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2687 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 085FR | 01 |
| NC | CNC | 085FR | 01 |
| NC | UNITED HEALTH CARE | 621714 | 01 |
| NC | ACN | 621714 | 01 |
| NC | CIGNA | 621714 | 01 |
| NC | 890839W | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491479 | Kenneth Brown | Physical Therapist | 25 Kilmer Drive, Bldg 3, Ste 103, Morganville, NJ 07751-1561 | 2020-09-10 |
| 1528697406 | Kenneth Elwood Brown Jr. | Non-emergency Medical Transport (VAN) | 2056 Integrity Dr S, Columbus, OH 43209-2728 | 2020-04-03 |
| 1023487121 | Kenneth Brown IIi | Specialist/Technologist | 1500 S Sioux Dr, Olathe, KS 66062-2416 | 2015-09-18 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1336584002 | Kenneth Brown | Physical Therapy Assistant | 4200 W Lake Ave, Apt B202, Glenview, IL 60026-1472 | 2013-05-07 |
| 1346519808 | Kenneth James Brown II | Counselor | 2077 Raintree Pl, Lithonia, GA 30058-7956 | 2011-12-29 |
| 1851695670 | Kenneth D Brown | Podiatrist | 7354 Crackling Creek Cir, West Bloomfield, MI 48322-4503 | 2011-01-09 |
| 1689997371 | Kenneth R Brown | Internal Medicine | 102 S Ann St, Lancaster, PA 17602-4381 | 2010-03-09 |
| 1336478650 | Kenneth Adonis Brown | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2009-12-15 |
| 1396979290 | Kenneth Brown | Counselor | 751 Debarr Ave, Norman, OK 73069-4907 | 2009-05-06 |
| Street Address |
6224 FAYETTEVILLE RD SUITE 106B |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518041094 | Jonathan Pritchett | Pharmacist | 6224 Fayetteville Rd, Suite 104, Durham, NC 27713-6288 | 2006-10-24 |
| 1164801155 | Back To Health Southpoint | Chiropractor | 6224 Fayetteville Rd, 106b, Durham, NC 27713-6288 | 2015-05-22 |
| 1598070559 | Christopher Thomas Finn | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2010-08-16 |
| 1114230778 | Meagan H Hasty | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2010-07-23 |
| 1528388212 | Central Compounding Center South | Pharmacy | 6224 Fayetteville Rd, Durham, NC 27713-6288 | 2010-06-04 |
| 1629258413 | Virginia Blair Watson | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-11-08 |
| 1548474851 | Athletic Advantage, Inc. | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-05-09 |
| 1811011786 | Jason James Gauvin | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-03-18 |
| 1083752331 | Nathan David Kauk | Physical Therapist | 6224 Fayetteville Rd, Ste. 101, Durham, NC 27713 | 2007-02-01 |
| 1508932948 | Back To Health Cmc Inc | Chiropractor | 6224 Fayetteville Rd, Suite 106b, Durham, NC 27713-6288 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515255 | Tyson William Devereux | Chiropractor | 8202 Renaissance Pkwy, Durham, NC 27713-6694 | 2020-07-22 |
| 1396373874 | Valentina Degiovanni | Chiropractor | 5501 Fortunes Ridge Dr Ste L, Durham, NC 27713-6102 | 2020-03-30 |
| 1316591431 | Richard Alan Perloff | Chiropractor | 416 Farintosh Valley Ln, Durham, NC 27703-8115 | 2019-07-26 |
| 1982269270 | University Chiropractic Office Corporation | Chiropractor | 2717 Western Byp Ste 1019, Durham, NC 27705-5770 | 2019-05-02 |
| 1356805519 | Alexzandra Natalia Volpe | Chiropractor | 3604 Shannon Rd Ste 100, Durham, NC 27707-6343 | 2019-01-22 |
| 1326511197 | Aqeila Shepherd | Chiropractor | 6224 Fayetteville Rd Ste 106b, Durham, NC 27713-6288 | 2019-01-04 |
| 1861970808 | Adrian Cornelius Laros | Chiropractor | 8202 Renaissance Pkwy Ste 108, Durham, NC 27713-6694 | 2018-08-01 |
| 1386169787 | Ryan Funderburk | Chiropractor | 202 W Nc Highway 54 Ste 103, Durham, NC 27713-7564 | 2017-08-07 |
| 1407224181 | Krista Kathleen Spicher | Chiropractor | 2113 Lime St, Durham, NC 27704-6103 | 2015-09-11 |
| 1831573112 | Carolina Head and Spine Clinic of Chiropractic,pa | Chiropractor | 3001 Academy Road, Suite 230, Durham, NC 27707 | 2015-07-16 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.