Individual provider · Type 1 NPI

Kelly Lynn Brooks

Student in an Organized Health Care Education/Training Program · San Dimas, CA

NPI number 1699558338 Active

Practice location

180 Via Verde
San Dimas, CA 91773-3993

Call (909) 599-1227 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699558338

Kelly Lynn Brooks's National Provider Identifier is 1699558338, issued on Aug 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Dimas, CA. The record was last updated on Aug 16, 2023.