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Organization

KANSAS HEARINGTECHNOLOGIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WALLY SHUTT BC-HIS (HEARING CONSULTANT)
(316) 945-9200
Entity
Organization

Contact information

Practice address
4600 W KELLOGG DR, WICHITA, KS 67209-2568
(316) 945-9200
Mailing address
3916 E SKINNER ST, WICHITA, KS 67218-4054
(316) 773-5252
(316) 721-5995

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
SL 1231
KS
237700000X
Hearing Instrument Specialist
SL 1391
KS
237700000X
Hearing Instrument Specialist
SL 1455
KS
237700000X
Hearing Instrument Specialist
Primary
SL908
KS

Other

Enumeration date
04/14/2010
Last updated
04/14/2010
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