MEDICARE: DR. SARA A GABRIEL AUD

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
1	231H00000X	Audiologist	2175	KS
2	231H00000X	Audiologist	2009015804	MO

General Provider Information

NPI Number	:	1417184037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA A GABRIEL AUD

Provider Business Mailing Address
First Line	:	5101 COLLEGE BLVD
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1614
Country	:	US
Telephone Number	:	816-478-4200
Fax Number	:	816-875-2598

Provider Business Practice Location Address
First Line	:	888 HAINES STE 224
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1008
Country	:	US
Telephone Number	:	816-781-2333
Fax Number	:	816-875-2598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	07/23/2024

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