| NPI | 1679873046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNTETH WAYNE KIDD Owner 913-498-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2007008453) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 1345) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2018-08-01 |