Individual
ADELA J BORTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-A
Contact information
Practice address
4320 WORNALL RD, 512, KANSAS CITY, MO 64111-5941
(816) 753-5663
Mailing address
11951 S RENE ST, OLATHE, KS 66062-5696
(913) 829-5529
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2000160472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29957011
BLUE CROSS BLUE SHIELD
MO
Enumeration date
01/15/2007
Last updated
07/08/2007
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