Individual
KELLY CURRAN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40722 STATE ROUTE 154, LISBON, OH 44432-8500
(133) 042-4957
Mailing address
40722 STATE ROUTE 154, LISBON, OH 44432-8500
(133) 042-4957
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.239934
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.239934
STATE OF OHIO NURSING BOARD
OH
Enumeration date
01/06/2021
Last updated
01/06/2021
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