Kivitz, Brooke

Kivitz, Brooke is an individual health care provider with primary practice located at 1524 Eubank Blvd Ne , Albuquerque NM 87112-4166. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kivitz, Brooke can be contacted via phone (505) 503-8806.

Contact Information

Primary practice address
1524 Eubank Blvd Ne Albuquerque NM 87112-4166
Phone: (505) 503-8806
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2008-0036 New Mexico
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PA2008-0036 New Mexico

Profile Details

NPI number 1417100868
LBN Legal business name Kivitz, Brooke
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2008
Last updated Nov 15th, 2023 - about 3 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 1417100868 NPPES
New Mexico MEDICAID 53234774

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