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Individual

MR. KENNETH WAYNE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TRANSPORTATION

Contact information

Practice address
670 MERIDIAN WAY STE 294, WESTERVILLE, OH 43082-2307
(614) 218-5722
Mailing address
670 MERIDIAN WAY STE 294, WESTERVILLE, OH 43082-2307
(614) 218-5722

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84-42246289
TAX EXEMPT
OH
Enumeration date
03/04/2021
Last updated
03/04/2021
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