Organization
AMBERWELL ATCHISON ASSOCIATION
Active
Parent organization
AMBERWELL ATCHISON ASSOCIATION
Other names
Amberwell Occupational Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBERWELL ATCHISON ASSOCIATION
Authorized official
MRS. JENNIFER DIANE BROCKHOFF ATC-L, CPTA (EXECUTIVE DIRECTOR OF CLINICS)
(913) 360-5829
Entity
Organization
Contact information
Practice address
820 RAVENHILL DR, SUITE 104, ATCHISON, KS 66002-9268
(913) 360-5829
(913) 674-2040
Mailing address
820 RAVENHILL DR, SUITE 104, ATCHISON, KS 66002-9268
(913) 360-5829
(913) 674-2040
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
H-003-001
KS
Other
Enumeration date
09/09/2015
Last updated
01/08/2024
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