Organization
KENT T BROWN OD, PC
Active
Parent organization
KENT T BROWN OD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENT T BROWN OD, PC
Authorized official
DR. KENT THEODORE BROWN O.D. (PRESIDENT)
(406) 322-5959
Entity
Organization
Contact information
Practice address
621 EAST 4TH AVE NORTH, COLUMBUS, MT 59019-7198
(406) 322-5959
Mailing address
P.O. BOX 779, COLUMBUS, MT 59019-0779
(406) 322-5959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
450
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180100002
DME PTAN
MT
05
—
1245360866
—
MT
Enumeration date
03/06/2007
Last updated
12/17/2013
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