Individual
KENNELL P BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
11/09/2006
Last updated
07/08/2007
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