NPI 1043895568
Keanthony Darnell Brooks
Practice location
- Address
- 31 Hickory Heights Dr, Phenix City, AL 36870-2396
- Phone
- (229) 514-8752
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1043895568
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Mar 2021
- Record last updated
- 16 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.