Kymaletha Brown

NPI 1407371529 · on the registry since 2017

Practice

Address: 17169 E Warren Ave
Detroit, MI 48224
Phone: (313) 480-4766
Organisation at this address: Goddess Great
The Great Divine Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YA0400X
374J00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan