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Organization

BRINCKMAN AND ASSOCIATES CHTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL J BRINCKMAN OD (OWNER)
(913) 764-3937
Entity
Organization

Contact information

Practice address
16124 W 135TH ST, OLATHE, KS 66062-1517
(913) 764-3937
(913) 764-3947
Mailing address
PO BOX 3047, OLATHE, KS 66063
(913) 764-3937
(913) 764-3947

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS1543
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200335030A
KS
Enumeration date
05/22/2008
Last updated
10/13/2009
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