Provider Demographics
NPI:1013358225
Name:HARMON, THOMAS D (HIS)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:D
Last Name:HARMON
Suffix:
Gender:
Credentials:HIS
Other - Prefix:
Other - First Name:TOM
Other - Middle Name:
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:INGALLS
Mailing Address - State:KS
Mailing Address - Zip Code:67853
Mailing Address - Country:US
Mailing Address - Phone:620-225-0522
Mailing Address - Fax:620-271-0058
Practice Address - Street 1:2010 CENTRAL
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801
Practice Address - Country:US
Practice Address - Phone:620-225-0522
Practice Address - Fax:620-271-0058
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1488237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist