Individual provider · Type 1 NPI
Kelly Lynn Brooks, PA-C
Surgical Physician Assistant · Fillmore, CA
NPI number
1366689358
Active
Practice location
828 W Ventura St Ste 100
Fillmore, CA 93015-1877
Mailing address
4484 Coffeetree Ln
Moorpark, CA 93021-3533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 20091 (CA) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1366689358
Kelly Lynn Brooks, PA-C's National Provider Identifier is 1366689358, issued on Jan 13, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fillmore, CA. The record was last updated on Dec 3, 2021.