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Individual

DR. PAUL J. BRINCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

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 66063-1047
(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
02/05/2007
Last updated
06/15/2009
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