Most Relevant Information
Provider Data
| NPI Number: | 1003208943 |
| Provider Name: | KRISTY MARIE BROOKS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/02/2015 |
| Last Updated: | 03/02/2015 |
Provider Practice Location
1841 MADORA AVE
DOUGLAS
WY
826333057
Practice Location Phone/Fax
| Phone: | 3073582846 |
| Fax: | 3073585329 |
Provider Mailing Location
1841 MADORA AVE
DOUGLAS
WY
826333057
Provider Mailing Phone/Fax
| Phone: | 3073582846 |
| Fax: | 3073585329 |