Healthcare Provider Details

I. General information

NPI: 1265225700
Provider Name (Legal Business Name): CHRISTINE MARIE CAUDLE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST
KANSAS CITY KS
66160-8500
US

IV. Provider business mailing address

2723 W 51ST ST
WESTWOOD KS
66205-1746
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 314-640-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2527
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: