Individual provider · Type 1 NPI
Kelvin Brooks
Family Nurse Practitioner · Columbia, SC
NPI number
1396349015
Active
Practice location
1601 Greene St
Columbia, SC 29208-4001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 210674 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | 30042 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396349015
Kelvin Brooks's National Provider Identifier is 1396349015, issued on Nov 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Jul 17, 2025.