Individual
VICKI L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12330 METCALF AVE STE 500B, OVERLAND PARK, KS 66213-1324
(816) 932-2836
(816) 932-9868
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02279
KS
363AS0400X
Surgical Physician Assistant
005070
NY
Other
Enumeration date
09/10/2010
Last updated
03/18/2020
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