Individual
MR. KIRBY LAMARR BROOKS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36121 BROADWATER RD, IVOR, VA 23866-2919
(757) 647-7242
(757) 925-9192
Mailing address
PO BOX 402, IVOR, VA 23866-0402
(757) 647-7242
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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