Individual
MRS. BROOKE LYNAE WHITEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS IECE
Contact information
Practice address
1231 GILBERT LN, OWENSBORO, KY 42303-1355
(270) 313-8520
Mailing address
1231 GILBERT LN, OWENSBORO, KY 42303-1355
(270) 313-8520
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
M91-092-802
KY
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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