Organization
KENNELL P. BROWN, JR. DDS, APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNELL P BROWN JR. DDS (PRESIDENT)
(337) 369-7654
Entity
Organization
Contact information
Practice address
306 N LEWIS ST, SUITE 2, NEW IBERIA, LA 70563-2843
(337) 369-7654
(337) 367-3439
Mailing address
306 N LEWIS ST, SUITE 2, NEW IBERIA, LA 70563-2843
(337) 369-7654
(337) 367-3439
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3527
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1835277
—
LA
Enumeration date
07/29/2008
Last updated
07/29/2008
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