# AD ASTRA AUDIOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114741493
- **Authorized official:** HOLLY SKINNER (ADMINISTRATION)
- **Authorized official phone:** (501) 454-1664

## Contact information

- **Practice address:** 2101 E LABRADOR BLVD, GARDEN CITY, KS 67846-3999
- **Practice address phone:** (620) 640-7621
- **Mailing address:** 2101 E LABRADOR BLVD, GARDEN CITY, KS 67846-3999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 12/09/2024