Healthcare Provider Details

I. General information

NPI: 1487832838
Provider Name (Legal Business Name): HEARING HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3954 N KICKAPOO AVE STE 5
SHAWNEE OK
74804-1635
US

IV. Provider business mailing address

3954 N KICKAPOO AVE STE 5
SHAWNEE OK
74804-1635
US

V. Phone/Fax

Practice location:
  • Phone: 405-273-6203
  • Fax: 405-273-6220
Mailing address:
  • Phone: 405-273-6203
  • Fax: 405-273-6220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State

VIII. Authorized Official

Name: KURT KALIES
Title or Position: PRESIDENT
Credential: M.S.
Phone: 405-273-6203