Individual
KYLIE BROOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 ASHBY AVE STE 3040, BERKELEY, CA 94705-2067
(510) 204-3977
(510) 204-5429
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-3977
(510) 204-5429
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
145300
CA
208M00000X
Hospitalist Physician
Primary
C145300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C145300
STATE MEDICAL LICENSE
CA
Enumeration date
12/12/2007
Last updated
06/18/2020
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