Healthcare Provider Details

I. General information

NPI: 1114545621
Provider Name (Legal Business Name): ABIGAIL MORGAN MICHELS AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 CONGRESS ST
BELTON MO
64012-2400
US

IV. Provider business mailing address

5101 COLLEGE BLVD
LEAWOOD KS
66211-1614
US

V. Phone/Fax

Practice location:
  • Phone: 816-331-4327
  • Fax:
Mailing address:
  • Phone: 816-478-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2020019947
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2399
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1818
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: