Individual
MR. KEN B. WAINWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, LAT
Contact information
Practice address
1651 NAISMITH DR, LAWRENCE, KS 66045-7538
(785) 864-5095
Mailing address
205 SUMMERTREE LN, LAWRENCE, KS 66049-1831
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00447
KS
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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