Provider Demographics
NPI:1144311739
Name:BROWNING, KENNETH CHARLES (DO)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:CHARLES
Last Name:BROWNING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4315 BROCKTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-3448
Mailing Address - Country:US
Mailing Address - Phone:951-784-6472
Mailing Address - Fax:951-784-5732
Practice Address - Street 1:4315 BROCKTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3448
Practice Address - Country:US
Practice Address - Phone:951-784-6472
Practice Address - Fax:951-784-5732
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4663207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine