Provider Demographics
NPI:1982298014
Name:BROOKS, WHITNEY KAY (RDN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:KAY
Last Name:BROOKS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GOWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14070-9771
Mailing Address - Country:US
Mailing Address - Phone:716-261-7002
Mailing Address - Fax:
Practice Address - Street 1:251 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:GOWANDA
Practice Address - State:NY
Practice Address - Zip Code:14070-9771
Practice Address - Country:US
Practice Address - Phone:716-261-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered