Individual
DR. KENNETH MARK BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4173
MN
363L00000X
Nurse Practitioner
CNP 4173
MN
Other
Enumeration date
09/21/2015
Last updated
05/02/2019
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