Individual
KYLE LEE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 AMITY ST APT 10, BROOKLYN, NY 11201-6016
(310) 924-4044
Mailing address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A11511
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2008
Last updated
12/27/2011
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