Provider Demographics
NPI:1013358225
Name:HARMON, THOMAS
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:HARMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 FLEMING ST
Mailing Address - Street 2:STE 3
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5972
Mailing Address - Country:US
Mailing Address - Phone:620-271-0013
Mailing Address - Fax:620-271-0058
Practice Address - Street 1:302 FLEMING ST
Practice Address - Street 2:STE 3
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5972
Practice Address - Country:US
Practice Address - Phone:620-271-0013
Practice Address - Fax:620-271-0058
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1488237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist