Individual
KRISTEN L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
4200 PENNSYLVANIA AVE, SUITE 100, KANSAS CITY, MO 64111-6913
(816) 932-1660
(816) 932-1675
Mailing address
4200 PENNSYLVANIA AVE, SUITE 100, KANSAS CITY, MO 64111-6913
(816) 932-1660
(816) 932-1675
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2003003229
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200252410A
—
KS
05
—
338309909
—
MO
Enumeration date
04/18/2006
Last updated
12/17/2009
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