Individual provider · NPI-1

Dr. Kara O Brooks, M.D.

Family Medicine · Crestview, FL

NPI number1942441795
StatusActive
Last updated in NPPESJun 24, 2010

Details

NPI
1942441795
Entity type
Individual (NPI-1)
Name
Dr. Kara O Brooks
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 7, 2009
Last updated
Jun 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine062314GAYes

Practice location

550 Redstone Ave W
Suite 200
Crestview, FL 32536-6428

Phone 850-682-6122 · Fax 850-682-5917

Mailing address

Po Box 2699
Pensacola, FL 32513-2699

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