Individual
ELLIE CAROLINE VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4880 NE GOODVIEW CIR, LEES SUMMIT, MO 64064-1996
(816) 478-4200
(816) 875-2597
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2026026015
MO
231H00000X
Audiologist
Primary
2561
KS
231H00000X
Audiologist
Primary
8028
SC
Other
Enumeration date
07/08/2025
Last updated
06/29/2026
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