Search › Kentucky › 207R00000X
Jackson Brown
NPI 1972181469 · on the registry since 2021
Practice
- Address
- 11701 Bluegrass Pkwy Ste 200
Louisville, KY 40299 - Phone
- (502) 245-4168
- Fax
- (502) 244-4054
- Clinicians at this address
- 3
Additional practice sites
- 830 S Limestone, Lexington, KY
- 900 S Limestone Ctw 304, Lexington, KY
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RC0000X
390200000X - Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-12
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 Kentucky