Individual
HALEIGH RAEANN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3100 W MCCORMICK AVE, WICHITA, KS 67213-2008
(316) 942-4291
Mailing address
3062 S MILLWOOD AVE, WICHITA, KS 67217-2446
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01440
KS
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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