Individual ProviderKelly BrownCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(661) 726-2850PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902188469Provider TypeIndividualFull NameBrown, KellyCredentialB.A.GenderFemaleSole ProprietorNoEnumeration Date9/12/2011Last Updated9/12/2011Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(661) 726-2850FaxUnlisted FaxMailing LocationMailing Address1501 E Avenue I, Spc 161, Lancaster, CA 93535-2245PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseNA