Brooks, Kay Michelle

Brooks, Kay Michelle is an individual health care provider with primary practice located at 4254 Jackson Hwy , Chehalis WA 98532-8424. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brooks, Kay Michelle can be contacted via phone (360) 262-3966.

Contact Information

Primary practice address
4254 Jackson Hwy Chehalis WA 98532-8424
Phone: (360) 262-3966
Fax: (360) 262-3967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004588 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA0004588 Washington

Profile Details

NPI number 1831170158
LBN Legal business name Brooks, Kay Michelle
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831170158 NPPES
Washington MEDICAID 7132764
Washington MEDICAID 1117829
Washington MEDICAID 7132244

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