Individual
KELLY C. BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1605 WESTERLY CT, CHESAPEAKE, VA 23322-1285
(774) 238-2766
Mailing address
1605 WESTERLY CT, CHESAPEAKE, VA 23322-1285
(774) 238-2766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178701
VA
Other
Enumeration date
01/07/2021
Last updated
10/28/2021
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