Individual
KAITLYN HOFBAUER BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
935 W 2ND ST, SWANSEA, SC 29160-8665
(803) 568-2000
Mailing address
66 WOLF RIDGE CT, IRMO, SC 29063-9838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08220689
SC
Other
Enumeration date
08/18/2022
Last updated
04/20/2023
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