Individual
MS. DOROTHY K WHITTREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3084 N MAIZE RD, HAC, WICHITA, KS 67205-7359
(785) 409-1530
Mailing address
1279 ROAD 310, ALLEN, KS 66833-9323
(785) 409-1530
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
677
KS
237700000X
Hearing Instrument Specialist
503
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
503
KANSAS BOARD OF EXAMINERS IN THE FITTING AND DISPENSING OF HEARING INSTRUMENTS
KS
01
—
677
KS DEPARTMENT FOR AGING & DISABILITY SERVICES HEALTH OCCUPATIONS CREDENTIALING
KS
Enumeration date
11/23/2019
Last updated
12/26/2019
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