Individual
CASEY R. PENFOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
545 COLUMBIA DR STE 1004, LAWRENCE, KS 66049
(785) 551-7525
Mailing address
545 COLUMBIA DR STE 1004, LAWRENCE, KS 66049-2363
(785) 551-7525
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1526
KS
237700000X
Hearing Instrument Specialist
966
OK
Other
Enumeration date
07/18/2008
Last updated
07/24/2018
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