Individual
MR. AUSTIN NICHOLAS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
103 KEYSTONE DR STE 5, RICHMOND, KY 40475-7988
(859) 353-8884
Mailing address
148 HOLLY GROVE RD, CORBIN, KY 40701-4426
(865) 585-0863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2836
KY
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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