Individual
MR. MICHAEL ANDREW PELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, AEMT
Contact information
Practice address
2201 W ROSS BLVD, DODGE CITY, KS 67801-8425
(620) 227-1611
(620) 227-1680
Mailing address
2201 W ROSS BLVD, DODGE CITY, KS 67801-8425
(620) 227-1611
(620) 227-1680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00087
KS
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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