NPI 1013496488

Kenyari Maschon Brown

Practitioner Driver Milwaukee, WI

Practice location

Address: 2002 N 71st St, Milwaukee, WI 53213-1824
Phone: (414) 745-3756
Fax: (414) 455-2960

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 201 (WI)

Other Driver providers in Wisconsin →

Registry record

NPI: 1013496488
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2018
Record last updated: 7 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.