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Kenneth Brock
NPI 1760081038 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1110 Martin Ave
Toledo, OH 43612 - Phone
- (937) 830-1313
- Organisation at this address
- Lifecore Health Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2020-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio