Individual
AUSTIN JAMES O'DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
(913) 927-1447
Mailing address
931 BROOKSIDE ST, LEAVENWORTH, KS 66048-4767
(913) 927-1447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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