Healthcare Provider Details

I. General information

NPI: 1154931277
Provider Name (Legal Business Name): KRISTINA MARES-ANGST BROYLES AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20375 W 151ST ST STE 106
OLATHE KS
66061-5353
US

IV. Provider business mailing address

20375 W 151ST ST STE 106B
OLATHE KS
66061-5306
US

V. Phone/Fax

Practice location:
  • Phone: 913-312-1774
  • Fax:
Mailing address:
  • Phone: 913-312-1774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: