Individual
MISS KAITLYN ARLENE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
623 PARK MEADOW RD, WESTERVILLE, OH 43081-2876
(614) 384-0440
Mailing address
8174 ROSABERRY RUN, WESTERVILLE, OH 43081-5608
(614) 906-0908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
05179
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05179
CHIROPTACTIC
OH
Enumeration date
09/13/2022
Last updated
09/13/2022
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