| NPI | 1699736769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON FAYE KEENAN President Audiologist 816-833-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT000382L) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT000161L) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2017-08-09 |