Individual
ANDREW PHILLIP MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
608 COLLEEN ST, AUGUSTA, KS 67010-2309
(316) 779-7961
Mailing address
608 COLLEEN ST, AUGUSTA, KS 67010-2309
(316) 779-7961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00710
KS
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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