Individual
JOSEPH BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2233 LOWER HUNTERS TRCE, LOUISVILLE, KY 40216-1358
(502) 357-9211
(502) 576-7400
Mailing address
PO BOX 125, MOUNT WASHINGTON, KY 40047-0125
(502) 357-9211
(502) 576-7400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008699
KY
363LF0000X
Family Nurse Practitioner
APRN11010350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12704008
CAQH
—
05
—
7100305570
—
KY
Enumeration date
06/13/2014
Last updated
12/06/2024
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