| |
300 S Aztec St, Montezuma, KS 67867-8811 | |
(620) 846-2241 | |
(620) 846-2149 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 300 S Aztec St, Montezuma, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376911768 | NPI | - | NPPES |
201131680A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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12910 Shelbyville Rd, Ste 300, Louisville, KY 40243-1593 Ph: (855) 259-9183 | 300 S Aztec St, Montezuma, KS 67867-8811 Ph: (620) 846-2241 |