Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR.KENBROSHDDSPC
Active OrganizationPoint of Service · MASCOUTAH, IL
Registration Details
- NPI Number
- 1134399421
- Provider Type
- Organization
- NPI Issued
- Mar 3, 2008 (18.136351635599 yrs)
- Last Updated
- Mar 3, 2008
- License
-
019019341 (IL)
Practice Information
- Address
-
1180 N 6TH STMASCOUTAH, IL, 622581178Browse IL providers · Browse ZIP 62258
- Phone
- 6185667000
- Fax
- 6185667000
- Primary Specialty
-
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.