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NPI Code Detail

MEDICARE: KENNETH BRITTON D.O.

MEDICARE:   KENNETH  BRITTON  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist36483MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881664605
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH BRITTON D.O.
Provider Business Mailing Address
First Line : 1440 DUCKWOOD DR STE 200
Second Line :
City : EAGAN
State : MN
Zip : 55122-1451
Country : US
Telephone Number : 651-225-1102
Fax Number : 612-977-1208
Provider Business Practice Location Address
First Line : 1440 DUCKWOOD DR STE 200
Second Line :
City : EAGAN
State : MN
Zip : 55122-1451
Country : US
Telephone Number : 651-225-1102
Fax Number : 612-977-1208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 06/18/2021

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Directions to “ KENNETH BRITTON D.O.” Practice Location

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