Individual
DR. KENNETH L BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10965 W CENTER STREET EXT, MEDINA, NY 14103-9301
(585) 798-1807
Mailing address
PO BOX 11, MEDINA, NY 14103-0011
(585) 798-1807
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
109363
NY
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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