Individual
DR. BRIAN KEITH KINKADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
806 LAUREL ST, CRESTON, IA 50801-3554
(641) 782-5455
(641) 782-5590
Mailing address
1625 DOGWOOD AVE, CRESTON, IA 50801-8303
(641) 202-6665
(641) 782-5590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2264
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1297374
—
IA
01
—
39206
WELLMARK
IA
Enumeration date
09/20/2006
Last updated
01/15/2025
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