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General NPI Number Information
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NPI Number | 1417018201
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Entity Type | Individual
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Provider Name | KEVIN W BRINKER D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 111 S RIDGECREST ST
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City | WICHITA
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State | KS
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Zip | 67218
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Country | US
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Telephone | 316-932-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S RIDGECREST ST
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City | WICHITA
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State | KS
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Zip | 67218-1825
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Country | US
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Telephone | 316-932-2358
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 03082
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R1266
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 05-34269
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License Number State | KS
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