Individual
BROOKE BIANCO KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 963-1816
Mailing address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 248-6730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
826211
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95009317
CA
Other
Enumeration date
06/29/2018
Last updated
03/10/2020
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