Dr. Kenneth Lynn Brooks, M.D.
Pediatrics in Phoenix, AZ. Individual provider (NPI-1).
NPI number1497844567
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1497844567
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Lynn Brooks
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4301059207 | MI | Yes |
Practice location
4212 N 16th StPhoenix, AZ 85016-5319
Phone 602-263-1511 · Fax 602-263-1637
Mailing address
4212 N 16th StPhoenix, AZ 85016-5319
Phone 602-263-1511 · Fax 602-263-1637
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