Organization
KEN KIDD INC DBA MIRACLE-EAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNTETH WAYNE KIDD H.I.S. (OWNER)
(913) 498-0909
Entity
Organization
Contact information
Practice address
1148 W. 103RD ST, KANSAS CITY, MO 64114
(816) 942-4300
(816) 942-4302
Mailing address
7410 W 119TH STREET, OVERLAND PARK, KS 66213
(913) 498-0909
(816) 942-4302
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1345
KS
237700000X
Hearing Instrument Specialist
Primary
2007008453
MO
Other
Enumeration date
11/01/2010
Last updated
08/01/2018
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