NPI 1841338696 · live from the CMS NPI Registry
Kenneth Wayne Brooks, O.D.
Optometrist in Pittsburg, KS. National Provider Identifier 1841338696, active.
NPI record
| NPI | 1841338696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2305 S Tucker St, Pittsburg, KS 66762 |
| Practice phone | 620-232-2020 |
| Enumerated | February 2, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1079-3 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.