KEMETTRA M BROOKS LVN
NPI 1063107753
Licensed Vocational Nurse in Corona, CA

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since April 07, 2023

2813 S MAIN ST FL 2, CORONA, CA 92882(951) 737-2962(951) 737-3278 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kemettra M Brooks Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEMETTRA M BROOKS LVN (NPI 1063107753) is an individual licensed vocational nurse in Corona, California, licensed in California (697052) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1063107753

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameKEMETTRA M BROOKSCredential: LVN

Location Address2813 S MAIN ST FL 2Corona, CA 92882-5942

Mailing Address2813 S Main St Fl 2Corona, CA 92882-5942

Phone(951) 737-2962

Fax(951) 737-3278

Sole ProprietorYes

Enumeration DateApril 7, 2023

NPPES CertifiedApril 7, 2023

✔ NPI 1063107753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 697052

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

2813 S MAIN ST FL 2, Corona, CA 92882

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