MEDICARE: EARS LLC

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
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1568145233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARS LLC

Provider Business Mailing Address
First Line	:	1133 COLLEGE AVE STE C145
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-2721
Country	:	US
Telephone Number	:	785-320-7388
Fax Number	:	785-320-6056

Provider Business Practice Location Address
First Line	:	1133 COLLEGE AVE STE C145
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-2721
Country	:	US
Telephone Number	:	785-320-7388
Fax Number	:	785-320-6056

Authorized Official
Title or Position	:	AUDIOLOGIST/OWNER
Name	:	KATHRYN BUNKER
Credential	:	AUD
Telephone Number	:	785-320-7388

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	08/09/2023

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Directions to “EARS LLC ” Practice Location

Language	Start Address	Practice Location

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