Organization
DR. KENNETH R. BRAUN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER LEE BRAUN (OPTOMETRIC ASST.)
(803) 648-8674
Entity
Organization
Contact information
Practice address
724 RICHLAND AVE W, AIKEN, SC 29801-3832
(803) 648-8974
Mailing address
724 RICHLAND AVE W, AIKEN, SC 29801-3832
(803) 648-8974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4545
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9609
—
SC
Enumeration date
03/26/2008
Last updated
04/28/2014
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