Individual
MR. MICHAEL LEROY VINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 AMES STREET, BALDWIN CITY, KS 66006
(785) 594-4100
(785) 594-2600
Mailing address
1305 WAKARUSA DRIVE, LAWRENCE, KS 66049
(785) 842-3444
(785) 842-3410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02082
KS
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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