Healthcare Provider Details

I. General information

NPI: 1346170610
Provider Name (Legal Business Name): HANNA BETH KOLWYCK AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 KANIS RD
LITTLE ROCK AR
72205-6203
US

IV. Provider business mailing address

10704 BURKHALTER HAAS DR APT 12
NORTH LITTLE ROCK AR
72113-7661
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-3800
  • Fax:
Mailing address:
  • Phone: 731-334-3866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number203569
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: