Individual
MRS. KAY MICHELLE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
4254 JACKSON HWY, CHEHALIS, WA 98532-8424
(360) 262-3966
(360) 262-3967
Mailing address
PO BOX 1099, MORTON, WA 98356-0018
(360) 496-5145
(360) 496-5093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA0004588
WA
363AM0700X
Medical Physician Assistant
Primary
PA10004588
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117829
—
WA
05
—
7132244
—
WA
05
—
7132764
—
WA
Enumeration date
11/14/2005
Last updated
07/10/2015
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