Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY LYNN BROOKS, PA-C
ActiveMRS. KELLY LYNN BROOKS, PA-C is a Surgical Physician Assistant healthcare provider located in FILLMORE, California. NPI 1366689358 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FILLMORE, CA
Registration Details
- NPI Number
- 1366689358
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2009 (17.62658131995 yrs)
- Last Updated
- Dec 3, 2021
- License
-
20091 (CA)
Practice Information
- Address
-
828 W VENTURA ST STE 100FILLMORE, CA, 930151877Browse CA providers · Browse ZIP 93015
- Phone
- 8055242000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.