NPI 1104907724 · live from the CMS NPI Registry
Kenneth Alcuin Bromen, MD
Psychiatry & Neurology, Neurology in Duluth, MN. National Provider Identifier 1104907724, active.
NPI record
| NPI | 1104907724 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 306 W Superior St, Suite 403, Duluth, MN 55802 |
| Practice phone | 217-722-4379 |
| Mailing address | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112 |
| Enumerated | October 18, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 18138 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.