Brawner, Kenneth W.

Brawner, Kenneth W. is an sole proprietor health care provider with primary practice located at 900 Conference Dr Suite 15-B, Goodlettsville TN 37072-1909. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brawner, Kenneth W. can be contacted via phone (615) 859-1912.

Contact Information

Primary practice address
900 Conference Dr Suite 15-B Goodlettsville TN 37072-1909
Phone: (615) 859-1912
Fax: (615) 859-1965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT690 Tennessee

Profile Details

NPI number 1477545341
LBN Legal business name Brawner, Kenneth W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Mar 22nd, 2012 - about 14 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 1477545341 NPPES
Tennessee MEDICAID 3594517

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