Individual
VINCENT PAUL DIGIOVANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, L-ATC, CSCS
Contact information
Practice address
10500 LACKMAN RD, JC PENNEY MEDICAL OFFICE, LENEXA, KS 66219
(913) 541-2365
(913) 541-3108
Mailing address
3738 SW HEREFORDSHIRE RD, TOPEKA, KS 66610
(785) 273-0330
(913) 541-3108
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
2255A2300X
Athletic Trainer
Primary
24-00392
KS
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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