Individual
MR. KENNETH P BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BOULDERS PKWY, SUITE 202, RICHMOND, VA 23225
(804) 320-7881
(804) 560-3474
Mailing address
1000 BOULDERS PKWY, SUITE 202, RICHMOND, VA 23225
(804) 320-7881
(804) 560-3474
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101030760
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007181990
—
VA
Enumeration date
10/25/2005
Last updated
02/24/2010
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