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Individual

MICHAEL BRIAN HARVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
12112 W KELLOGG ST, WICHITA, KS 67235-1100
(316) 630-9300
Mailing address
777 N SILVER SPRINGS BLVD APT 2007, WICHITA, KS 67212-6023
(620) 339-5244

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00309
KS

Other

Enumeration date
01/23/2020
Last updated
01/23/2020
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