Individual
MRS. STACEY DAWN KAMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D. CCC A
Contact information
Practice address
5015 E 29TH ST N, DOOR T, WICHITA, KS 67220-2110
(316) 978-3289
(316) 978-7264
Mailing address
1845 FAIRMOUNT ST, CAMPUS BOX 99, WICHITA, KS 67260-0099
(316) 978-3289
(316) 978-7264
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
A00921
KS
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228550A
—
KS
01
—
640002456
RAIL ROAD MEDICARE
KS
Enumeration date
05/08/2006
Last updated
06/22/2015
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