Individual
BAILEY G MODERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1001 6TH AVE STE 105, LEAVENWORTH, KS 66048-3269
(913) 682-1870
(913) 682-1775
Mailing address
PO BOX 19087, LENEXA, KS 66285-9087
(913) 262-5855
(913) 262-5869
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
08/15/2022
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