Individual
BOBBY JOE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
(270) 789-3410
(270) 465-2449
Mailing address
127 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
(270) 789-3410
(270) 465-2449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17421
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64174212
—
KY
Enumeration date
06/23/2005
Last updated
07/21/2010
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