Provider Demographics
NPI:1053731505
Name:KLB INVESTMENTS, INC
Entity type:Organization
Organization Name:KLB INVESTMENTS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PROPRIETOR
Authorized Official - Phone:262-694-2400
Mailing Address - Street 1:334 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53403-1029
Mailing Address - Country:US
Mailing Address - Phone:262-632-4040
Mailing Address - Fax:262-898-1198
Practice Address - Street 1:7532 PERSHING BLVD
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-4316
Practice Address - Country:US
Practice Address - Phone:262-694-2400
Practice Address - Fax:262-694-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty