NPI | 1720564511 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY L KNOELL Owner 712-243-2422 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: KS 00518) |
Enumeration Date | 2018-07-14 |
Last Update Date | 2018-07-14 |