Individual
MRS. MARY KATHERINE BRINKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
440 S MARKET AVE, SPRINGFIELD, MO 65806-2026
(417) 865-5581
Mailing address
822 S PICKWICK AVE, SPRINGFIELD, MO 65804-0130
(417) 863-9999
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2013005280
MO
Other
Enumeration date
11/09/2005
Last updated
07/18/2013
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