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Organization

RICHARD WARREN BRINKMAN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD WARREN BRINKMAN MD (OWNER)
(270) 782-8866
Entity
Organization

Contact information

Practice address
1711 DESTINY LN, SUITE 118, BOWLING GREEN, KY 42104-1066
(270) 782-8866
(270) 715-8346
Mailing address
1711 DESTINY LN, SUITE 118, BOWLING GREEN, KY 42104-1066
(270) 782-8866
(270) 715-8346

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
38409
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64077696
KY
Enumeration date
07/17/2013
Last updated
08/15/2013
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