KENNETH BROOKS (NPI# 1770630261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770630261 |
| Entity Type | Individual |
| Full Name | KENNETH BROOKS |
| Practice Address |
Blanchfield Army Community Hospital 650 Joel Drive Fort Campbell KY 42223-5349 |
| Practice Telephone | 2707988727 |
| Practice Fax Number | 2709560180 |
| Mailing Telephone | 2707988727 |
| Mailing Fax Number | 2709560180 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2009-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1030465 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677905 | Kenneth Brooks Jr. | Music Therapist | 501 Pecan Acres Ct, Arlington, TX 76013-7100 | 2015-04-24 |
| 1427380930 | Kenneth L Brooks | Radiology | 10965 W Center Street Ext, Medina, NY 14103-9301 | 2010-02-08 |
| 1598989857 | Kenneth H Brooks | Dermatology | 846 Camino Ranchitos, Santa Fe, NM 87505-2840 | 2007-04-11 |
| 1841338696 | Kenneth Wayne Brooks | Optometrist | 2305 S Tucker St, Pittsburg, KS 66762-6530 | 2007-02-02 |
| 1104465210 | Kenneth Brooks | Behavior Technician | 3150 Crow Canyon Pl Ste 110, San Ramon, CA 94583-1716 | 2020-01-06 |
| 1568026912 | Kenneth Brooks | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2019-04-30 |
| 1760851661 | Kenneth Mark Brooks | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-09-21 |
| 1750584298 | Kenneth E. Brooks II | Dentist | 676 N Michigan Ave, Suite 3500, Chicago, IL 60611-2883 | 2007-06-11 |
| 1093930562 | Kenneth Ryan Brooks | Orthopaedic Surgery | 2020 Nasa Pkwy, Suite 230, Houston, TX 77058-3683 | 2007-04-17 |
| 1568515153 | Kenneth W Brooks | Physician Assistant | 825 Ne 10th St, Oupb5200, Oklahoma City, OK 73104-5417 | 2007-01-19 |
| Street Address |
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992776991 | Gordon Troy Prairie | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2006-01-28 |
| 1477181428 | Aaron Alan Hardy | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-03-27 |
| 1598390452 | Raymond L. Hernandez | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2020-03-11 |
| 1053801886 | Mark Leon Siebe | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-05-17 |
| 1891283842 | Blake Adam Glynn | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-04-25 |
| 1407363575 | Sean Patrick Casey Stewart | Pharmacist | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-01-10 |
| 1871020081 | Marquita Sheree Barr | Social Worker | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | 2017-05-18 |
| 1346776465 | Curtiss Mills | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 | 2017-05-10 |
| 1497295240 | Sarahlouise Perez | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2017-02-27 |
| 1134675481 | Joseph Flynn Drevlow | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1962794172 | Brian M Wills | Physician Assistant | 650 Joel Drvie, Fort Campbell, KY 42223 | 2011-05-05 |
| 1861716524 | Lucas Benjamin Barker | Physician Assistant | Building 7149 Blacksheep Run Rd, Fort Campbell, KY 42223-5318 | 2010-03-23 |
| 1386879005 | David Lee Driskell | Physician Assistant | 6768 Desert Storm Ave, Hhc 3-187th In Regt, Fort Campbell, KY 42223 | 2009-05-26 |
| 1336343698 | Carrie Renee Smith | Physician Assistant | 650 Joel Dr Rm 1be01, Fort Campbell, KY 42223-5318 | 2007-06-12 |
| 1821101460 | Michael Joe Burns Jr. | Physician Assistant | Building 5979 Deset Storm Avenue, Ashau Valley Clinic, Fort Campbell, KY 42223 | 2006-08-17 |
| 1568063519 | Jeremy Schadewald | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-05 |
| 1487262408 | John William Zamora | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1295343218 | Joshua Ryan Agard | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1477181428 | Aaron Alan Hardy | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-03-27 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on KENNETH BROOKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.