Northwest Kansas Tech College

NPI #1275075103 in Goodland, Kansas

Provider Information

NPI Number
1275075103
Entity Type
Organization
Organization Name
Northwest Kansas Tech College
Primary Specialty
Preferred Provider Organization
Enumeration Date
Nov 9, 2016
Last Updated
Nov 9, 2016

Practice Location

Address
1209 HARRISON AVE
State
Kansas
ZIP Code
67735-3441
Phone
(785) 890-1539

Authorized Official

Name
SHELBY ANN HEATWOLE, ATC, LAT
Title
HEAD ATHLETIC TRAINER
Phone
(620) 290-4687

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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