Individual
ANGELA BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC-A
Contact information
Practice address
5015 E 29TH ST N, WICHITA, KS 67220-2110
(316) 978-3289
(316) 978-7264
Mailing address
1845 FAIRMOUNT ST, WICHITA, KS 67260-0099
(316) 978-3289
(316) 978-7264
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1945
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115720
BCBS
KS
01
—
14144
PHS
KS
Enumeration date
05/14/2007
Last updated
07/09/2007
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