Individual
MR. TROY DAVID BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
68 E ELKINS ST, STANTON, KY 40380-2311
(606) 663-2511
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 274-4312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA287
KY
363AM0700X
Medical Physician Assistant
PA287
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356917
BLUE CROSS
KY
05
—
35001791
—
KY
01
—
607850200
FEDERAL BLACK LUNG
KY
Enumeration date
08/19/2006
Last updated
12/11/2024
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