Individual
TYSON DRUMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2214 E DOUGLAS AVE, WICHITA, KS 67214-4407
(316) 536-0160
Mailing address
12114 E AYESBURY ST, WICHITA, KS 67226-3694
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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