Brown, Kevin Lloyd
Brown, Kevin Lloyd is an individual health care provider with primary practice located at 1260 Lexington Ave , Mansfield OH 44907. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Brown, Kevin Lloyd can be contacted via phone (419) 756-8204.Contact Information
Primary practice address
1260 Lexington Ave
Mansfield OH 44907
Phone: (419) 756-8204
Fax: (419) 756-0286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OH 4548 T1291 | Ohio |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OH 4548 T1291 | Ohio |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OH 4548 T1291 | Ohio |
Profile Details
| NPI number | 1619083714 |
|---|---|
| LBN Legal business name | Brown, Kevin Lloyd |
| Credentials | O.D, M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Nov 17th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619083714 | NPPES |
| Ohio | MEDICAID | 2019069 |
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