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NPI Code Detail

MEDICARE: KENZIE LYNN BRINKLEY

MEDICARE:   KENZIE LYNN BRINKLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1306950TX

General Provider Information

NPI Number : 1447726799
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENZIE LYNN BRINKLEY
Provider Business Mailing Address
First Line : 3838 50TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-3808
Country : US
Telephone Number : 806-792-5522
Fax Number : 806-785-7582
Provider Business Practice Location Address
First Line : 3838 50TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-3808
Country : US
Telephone Number : 806-792-5522
Fax Number : 806-785-7582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2018
Last Update Date : 03/24/2022

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Directions to “ KENZIE LYNN BRINKLEY ” Practice Location

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