Individual
KENYARI MASCHON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 N 71ST ST, MILWAUKEE, WI 53213-1824
(414) 745-3756
(414) 455-2960
Mailing address
2002 N 71ST ST, MILWAUKEE, WI 53213-1824
(414) 745-3756
(414) 455-2960
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
201
WI
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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