Healthcare Provider Details

I. General information

NPI: 1528837473
Provider Name (Legal Business Name): HEARING HEALTHCARE ASSOCIATES OF HUTCHINSON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 N LORRAINE ST
HUTCHINSON KS
67501-5656
US

IV. Provider business mailing address

1619 N LORRAINE ST
HUTCHINSON KS
67501-5656
US

V. Phone/Fax

Practice location:
  • Phone: 620-665-7551
  • Fax: 620-662-5281
Mailing address:
  • Phone: 620-665-7551
  • Fax: 620-662-5281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KENNETH LEE HERDT
Title or Position: HEARING INSTRUMENTS SPECIALIST
Credential: BC-HIS
Phone: 620-665-7551