Individual
MR. DOUGLAS WAYNE EDWARDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7931 BOND ST, LENEXA, KS 66214-1557
(913) 754-0888
Mailing address
626 N MAHAFFIE ST, OLATHE, KS 66061-6430
(913) 780-4659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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