Individual
MR. BEN EDWINSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT/ATC
Contact information
Practice address
12345 COLLEGE BLVD, OVERLAND PARK, KS 66210-1283
(913) 469-8500
(913) 469-4457
Mailing address
722 SW MEDFORD AVE, TOPEKA, KS 66606-1832
(785) 550-1290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00404
KS
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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