National Provider Identifier
Kenneth L Brooks, M.D.
Kenneth L Brooks, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Medina, NY and a listed phone number of (585) 798-1807.
Profile Overview
- NPI
- 1427380930
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- February 08, 2010
- Last Updated
- February 08, 2010
Practice Location
- 10965 W Center Street Ext
- Medina, NY 14103-9301
Phone: (585) 798-1807
Mailing Address
- PO Box 11
- Medina, NY 14103-0011
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1427380930
- Entity Type
- Individual
- Last Name
- Brooks
- First Name
- Kenneth
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- PO Box 11
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-0011
- Mailing Country
- US
- Mailing Phone
- (585) 798-1807
- Practice Street Address
- 10965 W Center Street Ext
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-9301
- Practice Country
- US
- Practice Phone
- (585) 798-1807
- Enumeration Date
- February 08, 2010
- Last Updated
- February 08, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)