Kayla Brooks, RN

Individual provider Active NPI Case Management Registered Nurse · Johnstown, NY

NPI 1245713619 · NPPES record last updated Sep 12, 2018

Key facts

NPI
1245713619
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
732941 (NY)
Practice address
465 South Perry St.
Johnstown, NY 12095
Phone
(518) 736-3882
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
732941NYMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 732941 NY Yes

Addresses

Primary practice location

465 South Perry St.
Johnstown, NY 12095

Mailing address

26 Prospect Ave Apt 3
Gloversville, NY 12078-3119

Other names

  • Kayla Corley Former name

Other providers in Johnstown, NY

All providers in Johnstown, NY · Case Management Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.