| Doctor Name: | KATHY BROOKS-ROCK |
| NPI Number: | 1487742953 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R026591 |
| Business Practice Address: | 333 Main Street Canaan, ME - 04929 |
| Business Phone Number: | 2074146990 |
| Business Fax Number: | 2074748899 |
| Mailing Address: | 118 Moosehead Trl, Suite 5 NEWPORT |
| State: | ME |
| Postal Code: | 049534020 |
| Phone Number: | 2073684213 |
| Fax Number: | 2073553033 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R026591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |