Individual
BRANDON M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 KELLOGG CIR APT 301, EMPORIA, KS 66801-5087
(620) 341-5021
Mailing address
1925 W 24TH AVE APT 301, EMPORIA, KS 66801-5793
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/21/2020
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