Individual
MR. KEVIN SCOTT BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
302 5TH ST STE 2, CLARKSTON, WA 99403-1801
(509) 295-3433
(509) 758-8104
Mailing address
302 5TH ST STE 2, CLARKSTON, WA 99403-1801
(509) 295-3433
(509) 758-8104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62258
ID
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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