Individual
KENDALL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128631
NC
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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