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Individual

MR. TIMOTHY WAYNE INGRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HEARING SPECIALIST

Contact information

Practice address
21 S WESTERN AVE, LIBERAL, KS 67901-3569
(620) 626-6356
Mailing address
21 S WESTERN AVE, LIBERAL, KS 67901-3569
(620) 626-6356

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
771
OK
237700000X
Hearing Instrument Specialist
Primary
952
KS

Other

Enumeration date
03/12/2009
Last updated
10/31/2024
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