| NPI | 1356560197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA B. STREET Audiologist Co Owner 620-343-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 1140) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |