Individual
KRISTIN DANAE BROCKWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1125 7TH AVE, BEAVER FALLS, PA 15010-4426
(724) 773-8900
(724) 770-7947
Mailing address
26310 EMERY RD, CLEVELAND, OH 44128-5735
(216) 791-3580
(216) 378-6236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT203740
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35.129188
OH
Other
Enumeration date
05/03/2013
Last updated
09/08/2021
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