Individual
SANDRA K KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 960-8000
(816) 960-8046
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2016034419
MO
231H00000X
Audiologist
505
KS
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227850D
—
KS
Enumeration date
08/16/2006
Last updated
12/12/2016
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