person
Mr. Kevin Brooks, PA
Medical Physician Assistant in London, Kentucky
NPI 1447400775

Kevin Brooks is a Medical Physician Assistant based in London, KY and is specialized in Medical. Kevin Brooks practices in London, KY and has the professional credentials of PA. The NPI Number for Kevin Brooks is 1447400775 and holds a License No. PA1143 (Kentucky).

The current practice location address for Kevin Brooks is 272 London Mountain View Dr, London, KY and can be reached out via phone at 606-877-2850 and via fax at 606-877-2857. You can also correspond with Kevin Brooks through the mailing address at 148 LONDON MOUNTAIN VIEW DR, LONDON, KY - 40741-6617 (mailing address contact number: 606-877-2850).

Location: 272 London Mountain View Dr, London, KY, 40741-6617
person
Provider Profile Details
NPI Number
1447400775
Provider Name
Kevin Brooks
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
272 London Mountain View Dr, London, KY, 40741-6617
Phone Number
606-877-2850
Fax Number
606-877-2857
Provider Enumeration Date
09/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S60507 01 KY CHI
000000592078 01 KY ANTHEM
7100112880 05 KY
PA1143 01 KY KY LICENSE
institution
Provider Business Practice Location Address Details
Address
272 London Mountain View Dr
City
State
Zip
40741-6601
Phone Number
606-877-2850
Fax Number
606-877-2857
person
Provider Business Mailing Address Details
Address
272 London Mountain View Dr
City
State
Zip
40741-6601
Phone Number
606-877-2850
Fax Number
606-877-2857
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1143 (Kentucky)
Definition
Definition to come...
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