Individual
MR. LUIS ANGEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT , ATC
Contact information
Practice address
3100 W MCCORMICK AVE, WICHITA, KS 67213
(785) 633-7507
Mailing address
2614 N BATTIN ST, WICHITA, KS 67220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01653
KS
Other
Enumeration date
01/20/2023
Last updated
01/22/2023
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