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Austin Nicholas Brooks, PA

Physician Assistant in Richmond, KY. Individual provider (NPI-1).

NPI number1013668086
StatusActive
Last updated in NPPESJan 12, 2022

Details

NPI
1013668086
Entity type
Individual (NPI-1)
Name
Mr. Austin Nicholas Brooks
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jan 12, 2022
Certification date
Jan 4, 2022
Last updated
Jan 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA2836KYYes

Practice location

103 Keystone Dr Ste 5
Richmond, KY 40475-7988

Phone 859-353-8884

Mailing address

148 Holly Grove Rd
Corbin, KY 40701-4426

Phone 865-585-0863

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