Individual
MRS. KATHRYN FRANCES BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 COMMERCIAL LANE, GODWIN BLDG ON RT 10, SUITE 220, SUFFOLK, VA 23434-8149
(757) 668-2600
(757) 668-2620
Mailing address
1005 COMMERCIAL LANE, GODWIN BLDG ON RT 10, SUITE 220, SUFFOLK, VA 23434-8149
(757) 668-2600
(757) 668-2620
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101241238
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010419913
—
VA
05
—
5906048
—
NC
Enumeration date
03/05/2007
Last updated
12/10/2012
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