NPI 1740613397

Brooke Elizabeth Prine, IDMT

Practitioner Independent Duty Medical Technicians McConnell Afb, KS

Practice location

Address: 57950 Leavenworth St, McConnell Afb, KS 67221-3506
Phone: (316) 759-5116
Mailing address: 407 E Stone Path St, Derby, KS 67037-9395

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Kansas →

Registry record

NPI: 1740613397
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2013
Record last updated: 19 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.