Individual
PAMELA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
651 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-5423
(859) 301-9140
(859) 341-9141
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-9140
(859) 341-9141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008866
KY
363LF0000X
Family Nurse Practitioner
3008866
KY
Other
Enumeration date
08/16/2014
Last updated
01/29/2020
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