MR. KEVIN BROOKS (NPI# 1447400775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447400775 |
| Entity Type | Individual |
| Full Name | MR. KEVIN BROOKS |
| Credential | PA |
| Practice Address |
272 London Mountain View Dr London KY 40741-6601 |
| Mailing Address |
148 London Mountain View Dr Suite 3 London KY 40741-6617 |
| Practice Telephone | 6068772850 |
| Practice Fax Number | 6068772857 |
| Mailing Telephone | 6068772850 |
| Mailing Fax Number | 6068772857 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1143 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY LICENSE | PA1143 | 01 |
| KY | ANTHEM | 000000592078 | 01 |
| KY | 7100112880 | 05 | |
| KY | CHI | S60507 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477878734 | Kevin Garrett Brooks | Dentist | 125 Marion Oaks Blvd, Ocala, FL 34473-2212 | 2010-03-30 |
| 1417036260 | Kevin George Brooks | Optometrist | 4957 S Cleveland Ave, Fort Myers, FL 33907-1399 | 2006-11-03 |
| 1659341105 | Kevin Eugene Brooks | Preventive Medicine | 1550 Tomcat Blvd Ste 150, Branch Health Clinic Oceana, Virginia Beach, VA 23460-2186 | 2006-01-26 |
| 1952929309 | Kevin Brooks | Behavior Technician | 7905 Schatz Pointe Dr Ste 104, Dayton, OH 45459-0001 | 2020-07-13 |
| 1114558277 | Kevin Scott Brooks | Registered Nurse | 302 5th St Ste 2, Clarkston, WA 99403-1801 | 2020-01-28 |
| 1982181590 | Kevin Brooks | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2018-07-26 |
| 1194073387 | Kevin Andrew Brooks | Physician Assistant | 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2012-08-21 |
| 1679868384 | Kevin Lee Brooks | Pharmacist | 1700 N Locust Ave, Lawrenceburg, TN 38464-2241 | 2011-06-10 |
| 1932338191 | Kevin D Brooks | Counselor | 1250 Morena Blvd, San Diego, CA 92110-3815 | 2009-07-09 |
| 1932232139 | Kevin Laron Brooks | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2007-03-14 |
| Street Address |
272 LONDON MOUNTAIN VIEW DR |
| City | LONDON |
| State | KY |
| Zip Code | 40741-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265621213 | Mountain View Family Practice Pllc | Physician Assistant | 272 London Mountain View Dr, London, KY 40741-6601 | 2007-10-16 |
| 1548818537 | Grace Community Health Center, Inc. | Clinic/Center | 272 London Mountain View Dr, London, KY 40741-6601 | 2019-09-03 |
| 1629561998 | Chelsea M Oakes | Nurse Practitioner | 272 London Mountain View Dr, London, KY 40741 | 2018-06-12 |
| 1831537547 | Charles Eugene Davis IIi | Physician Assistant | 272 London Mountain View Dr, London, KY 40741-6601 | 2013-06-05 |
| 1811236557 | Shiloh Counseling, Pllc | Social Worker | 272 London Mountain View Dr, London, KY 40741-6601 | 2013-01-31 |
| 1649522889 | Reed Family Pharmacy, LLC | Pharmacist | 272 London Mountain View Dr, Suite 2, London, KY 40741-6601 | 2012-10-11 |
| 1023300340 | Ryan Farris | Family Medicine | 272 London Mountain View Dr, London, KY 40741-6601 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265621213 | Mountain View Family Practice Pllc | Physician Assistant | 272 London Mountain View Dr, London, KY 40741-6601 | 2007-10-16 |
| 1013374479 | Rachel Fraser | Physician Assistant | 210 N Main St, London, OH 43140-1115 | 2016-01-15 |
| 1225402696 | Amy Shelton Umbel | Physician Assistant | 210 N Main St, London, OH 43140 | 2015-11-22 |
| 1457642159 | Saint Joseph Medical Foundation, Inc | Physician Assistant | 1406 W 5th St, Ste 303, London, KY 40741-1688 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1811518541 | Autumn Rose Ballard | Physician Assistant | 141 Mallard Dr, Frankfort, KY 40601-8647 | 2020-05-05 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1871150649 | East Ky Health Service Center | Physician Assistant | 566 Highway 899 # 849, Hindman, KY 41822-8955 | 2019-05-28 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.