Brooks, Kevin

Brooks, Kevin is an individual health care provider with primary practice located at 272 London Mountain View Dr , London KY 40741-6601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brooks, Kevin can be contacted via phone (606) 877-2850.

Contact Information

Primary practice address
272 London Mountain View Dr London KY 40741-6601
Phone: (606) 877-2850
Fax: (606) 877-2857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1143 Kentucky

Profile Details

NPI number 1447400775
LBN Legal business name Brooks, Kevin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2008
Last updated Sep 17th, 2019 - about 7 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 1447400775 NPPES
Kentucky Other S60507 CHI
Kentucky Other 000000592078 CHI
Kentucky MEDICAID 7100112880 CHI
Kentucky Other PA1143 CHI

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