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General NPI Number Information
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NPI Number | 1073707352
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Entity Type | Individual
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Provider Name | KELLY N SPILLER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 112 CONGRESS ST
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City | BELTON
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State | MO
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Zip | 64012-2400
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Country | US
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Telephone | 816-331-4327
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Fax | 816-331-4344
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Provider Business Mailing Address
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Address Line | 5101 COLLEGE BLVD
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City | LEAWOOD
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State | KS
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Zip | 66211-1614
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Country | US
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Telephone | 816-331-4327
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Fax | 816-331-4344
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1998
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2004021609
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1328
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2004021609
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License Number State | MO
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