Healthcare Provider Details

I. General information

NPI: 1154706281
Provider Name (Legal Business Name): KATIE ANN ZOGELMAN AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 N FOUNDERS CIR
WICHITA KS
67206-3548
US

IV. Provider business mailing address

1947 N FOUNDERS CIR
WICHITA KS
67206-3548
US

V. Phone/Fax

Practice location:
  • Phone: 316-274-4695
  • Fax:
Mailing address:
  • Phone: 316-274-4695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1656
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2294
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: