Healthcare Provider Details

I. General information

NPI: 1538951561
Provider Name (Legal Business Name): DRANNON WAYNE LENOX MS, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 27TH ST
NORTH NEWTON KS
67117-1716
US

IV. Provider business mailing address

1304 E 13TH AVE
HUTCHINSON KS
67501-6101
US

V. Phone/Fax

Practice location:
  • Phone: 405-397-0219
  • Fax:
Mailing address:
  • Phone: 405-397-0219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: