Individual
KENNETH E BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNC
Contact information
Practice address
790 NEW HOLLAND AVE, LANCASTER, PA 17602-2137
(717) 390-0353
Mailing address
320 HIGHLAND DR, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-2658
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN247543L
PA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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