Individual
DR. KEVIN LLOYD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D, M.S.
Contact information
Practice address
1260 LEXINGTON AVE, MANSFIELD, OH 44907
(419) 756-8204
(419) 756-0286
Mailing address
1260 LEXINGTON AVE, MANSFIELD, OH 44907
(419) 756-8204
(419) 756-0286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH 4548 T1291
OH
152WC0802X
Corneal and Contact Management Optometrist
OH 4548 T1291
OH
152WP0200X
Pediatric Optometrist
OH 4548 T1291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019069
—
OH
Enumeration date
08/22/2006
Last updated
11/17/2011
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