Individual
THOMAS LEO HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD # MS 1045, KANSAS CITY, KS 66160-8500
(913) 588-1559
Mailing address
709 W VINE ST, SPRINGFIELD, IL 62704-2848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61423000
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
KS
Other
Enumeration date
04/02/2020
Last updated
10/10/2023
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