Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kynan Alexander Brown

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609505221

Kynan Alexander Brown is a Student in an Organized Health Care Education/Training Program in Bloomington, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2200 E Washington St
Bloomington, IL 61701-4364
Phone: (309) 665-5996
Fax: (309) 662-7143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 702 W Chestnut St, Bloomington, IL 61701-2814 — (309) 557-1400

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609505221
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2022
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address2200 E Washington St, Bloomington, IL 61701

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