Provider Demographics
NPI:1659341105
Name:BROOKS, KEVIN EUGENE (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:EUGENE
Last Name:BROOKS
Suffix:
Gender:M
Credentials:MD MPH
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Mailing Address - Street 1:1305 MANNING RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8575
Mailing Address - Country:US
Mailing Address - Phone:757-539-0446
Mailing Address - Fax:
Practice Address - Street 1:1550 TOMCAT BLVD STE 150
Practice Address - Street 2:BRANCH HEALTH CLINIC OCEANA
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23460-2186
Practice Address - Country:US
Practice Address - Phone:757-953-3835
Practice Address - Fax:757-953-3763
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2011-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR1G1O2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine