Individual
MR. KENNETH L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
18110 W BLUEMOUND RD STOP 3, BROOKFIELD, WI 53045-2917
(262) 796-2020
(262) 796-0504
Mailing address
18110 W BLUEMOUND RD STOP 3, BROOKFIELD, WI 53045-2917
(262) 796-2020
(262) 796-0504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI2800
WI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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