Individual
KENNETH J BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3901 E STAN SCHLUETER LOOP STE 202, KILLEEN, TX 76542-4554
(254) 634-4244
(254) 634-8809
Mailing address
3901 E STAN SCHLUETER LOOP STE 202, KILLEEN, TX 76542-4554
(254) 634-4244
(254) 634-8809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G2918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100282602
—
TX
Enumeration date
07/03/2006
Last updated
10/26/2021
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