Individual
RONALD A BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1702 N. BALTIMORE ST., KIRKSVILLE, MO 63501-2485
(660) 665-6262
(660) 665-5908
Mailing address
1702 N. BALTIMORE ST., KIRKSVILLE, MO 63501-2485
(660) 665-6262
(660) 665-5908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002575
IA
152W00000X
Optometrist
046007820
IL
152W00000X
Optometrist
Primary
T02642
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164471462
—
IA
05
—
1164471462
—
IL
05
—
317965804
—
MO
Enumeration date
05/06/2006
Last updated
02/16/2018
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