| Dr Kenneth Mark Brooks, CNP | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Dr Kenneth Mark Brooks |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760851661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP 4173 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 4173 (Minnesota) | Primary |
| Entity Name | West Side Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Mark Brooks, CNP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Dr Kenneth Mark Brooks, CNP 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Nicole S Nipper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Brandi D'souza, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joan Grotewold, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5067 55th St Sw, Rochester, MN 55901 Phone: 507-292-7070 | |
Amy Behnken, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Judith Akinyi Okoth Dogo, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Christopher Dirkes, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Ms. Katrina L Gabelko, APRN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 7th St Nw, Rochester, MN 55901 Phone: 507-211-5186 |