Individual
MR. KEN A WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7309 W 95TH ST, OVERLAND PARK, KS 66212-2247
(816) 313-2800
(816) 792-9819
Mailing address
6 VICTORY DR, LIBERTY, MO 64068-1973
(816) 313-2800
(816) 792-9819
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1307
KS
237700000X
Hearing Instrument Specialist
1999140394
MO
Other
Enumeration date
04/03/2007
Last updated
07/12/2011
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