Individual
KEISHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1716 UNIVERSITY BLVD, G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 442-4080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5364
MA
152W00000X
Optometrist
Primary
T-248-TA-C08
AL
Other
Enumeration date
07/19/2019
Last updated
01/25/2021
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