NPI 1104529536
Dustyn Gage Sweet
Practice location
- Address
- 4100 S 4th St, Leavenworth, KS 66048-5082
- Phone
- (913) 549-0239
- Mailing address
- 1717 Lawrence Ave APT B, Leavenworth, KS 66048-3692
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1104529536
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Mar 2023
- Record last updated
- 24 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.