Doctor Name: | DR. MICHAEL BROOKS |
NPI Number: | 1063780062 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | NS-1698 |
Business Practice Address: | 214 S Main St Cynthiana, KY - 410311548 |
Business Phone Number: | 8592348355 |
Business Fax Number: | 8592350253 |
Mailing Address: | 214 S Main St, CYNTHIANA |
State: | KY |
Postal Code: | 410311548 |
Phone Number: | 8592348355 |
Fax Number: | 8592350253 |
NPI Enumeration Date: | 12/05/2011 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | NS-1698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |