Organization
CARDIOVASCULAR IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JUDE BROWN (OWNER VASCULAR TECHNOLOGIST)
(225) 667-0380
Entity
Organization
Contact information
Practice address
5606 2ND ST, HOKES BLUFF, AL 35903
(225) 667-0380
Mailing address
5606 2ND ST, HOKES BLUFF, AL 35903
(225) 667-0380
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
—
—
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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