Individual
DR. KEVIN MAX BROOKSBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1840 DECHERD BLVD, DECHERD, TN 37324-3655
(931) 967-1218
(931) 968-9479
Mailing address
1840 DECHERD BLVD, DECHERD, TN 37324-3655
(931) 967-1218
(931) 968-9479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22970
TN
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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