Individual
DR. KENNETH W. BRAWNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
900 CONFERENCE DR, SUITE 15-B, GOODLETTSVILLE, TN 37072-1909
(615) 859-1912
(615) 859-1965
Mailing address
900 CONFERENCE DR, SUITE 15-B, GOODLETTSVILLE, TN 37072-1909
(615) 859-1912
(615) 859-1965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT690
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3594517
—
TN
Enumeration date
08/17/2005
Last updated
03/22/2012
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