Individual
KEVIN ANDREW BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
(412) 692-8510
Mailing address
2626 TUNNEL BLVD APT 646, PITTSBURGH, PA 15203-6116
(412) 606-9157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA165543
OR
363AM0700X
Medical Physician Assistant
Primary
MA055674
PA
363AM0700X
Medical Physician Assistant
PA 165543
OR
Other
Enumeration date
08/21/2012
Last updated
03/20/2023
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