CASEY R. PENFOLD

LAWRENCE, KS
NPI1649435678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: KS  1526)
Additional Taxonomies237700000X Hearing Instrument Specialist
(Licence: OK  966)
Enumeration Date2008-07-18
Last Update Date2018-07-24
Business Address
CASEY R. PENFOLD HAD
545 COLUMBIA DR STE 1004
LAWRENCE, KS 66049
Phone number: 785-551-7525
Mailing Address
CASEY R. PENFOLD HAD
545 COLUMBIA DR STE 1004
LAWRENCE, KS 66049-2363
Phone number: 785-551-7525