Brooks, Kellie J

Brooks, Kellie J is an individual health care provider with primary practice located at 10800 Magnolia Ave , Riverside CA 92505-3043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brooks, Kellie J can be contacted via phone (909) 353-2000.

Contact Information

Primary practice address
10800 Magnolia Ave Riverside CA 92505-3043
Phone: (909) 353-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP9746 California

Profile Details

NPI number 1043368947
LBN Legal business name Brooks, Kellie J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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