Individual
KYRA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
505 DUTCHMANS LN STE B2, EASTON, MD 21601-4302
(410) 763-9040
Mailing address
505 DUTCHMANS LN STE B2, EASTON, MD 21601-4302
(410) 763-9040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP50180
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
MD
Enumeration date
07/26/2021
Last updated
07/26/2021
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