Brann, Kenneth Dale

Brann, Kenneth Dale is an individual health care provider with primary practice located at 2060 W Iles Ave Suite C, Springfield IL 62704-4191. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Brann, Kenneth Dale can be contacted via phone (636) 284-4987.

Contact Information

Primary practice address
2060 W Iles Ave Suite C Springfield IL 62704-4191
Phone: (636) 284-4987
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3118 Illinois

Profile Details

NPI number 1548504665
LBN Legal business name Brann, Kenneth Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Oct 26th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548504665 NPPES
Illinois Other 3118 ILLINOIS HEARING INSTRUMENT DISPENSER

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