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NPI Code Detail

MEDICARE: KRISTEN L LEWIS AUD, CCC-A

MEDICARE: KRISTEN L LEWIS AUD, CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist2003003229MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265497796
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN L LEWIS AUD, CCC-A
Provider Business Mailing Address
First Line : 4200 PENNSYLVANIA AVE
Second Line : SUITE 100
City : KANSAS CITY
State : MO
Zip : 64111-6913
Country : US
Telephone Number : 816-932-1660
Fax Number : 816-932-1675
Provider Business Practice Location Address
First Line : 4200 PENNSYLVANIA AVE
Second Line : SUITE 100
City : KANSAS CITY
State : MO
Zip : 64111-6913
Country : US
Telephone Number : 816-932-1660
Fax Number : 816-932-1675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 12/17/2009

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Directions to “ KRISTEN L LEWIS AUD, CCC-A” Practice Location

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