Individual
MR. WAYNE E HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
15800 W 123RD ST, OLATHE, KS 66062-4922
(913) 707-4402
Mailing address
15800 W 123RD ST, OLATHE, KS 66062-4922
(913) 707-4402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00046
KS
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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