Individual
DR. WILLIAM KENT BROKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4433 MEADOWLARK LN, SANTA BARBARA, CA 93105
(805) 886-8021
(805) 687-1482
Mailing address
4433 MEADOWLARK LN, SANTA BARBARA, CA 93105
(805) 886-8021
(805) 687-1482
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
C33750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0584671
CLIA
CA
01
—
1043211907
ORGANIZATION NPI
—
Enumeration date
08/02/2005
Last updated
12/28/2023
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