| Kyle Daniel Brown, PA-C | |
|
700 N Main St, Stanley, NC 28164-1438 | |
| (704) 263-8945 | |
| (704) 263-2591 |
| Full Name | Kyle Daniel Brown |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 700 N Main St, Stanley, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518292952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-02413 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caromont Medical Group Inc | 3577476258 | 425 |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Entity Name | Matrix Occupational Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144279670 PECOS PAC ID: 2365350220 Enrollment ID: O20040721000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Daniel Brown, PA-C Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450 | Kyle Daniel Brown, PA-C 700 N Main St, Stanley, NC 28164-1438 Ph: (704) 263-8945 |
Michael Randolph Sikes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 N Main St, Stanley, NC 28164 Phone: 704-263-8945 Fax: 704-263-2591 |
Danielle Elizabeth Weber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Waterlake Rd, Stanley, NC 28164 Phone: 704-674-7820 |