Individual
KENNETH BRITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1440 DUCKWOOD DR STE 200, EAGAN, MN 55122-1451
(651) 225-1102
(612) 977-1208
Mailing address
1440 DUCKWOOD DR STE 200, EAGAN, MN 55122-1451
(651) 225-1102
(612) 977-1208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36483
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824782000
—
MN
Enumeration date
01/24/2006
Last updated
06/18/2021
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