Individual
CAREY D KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9940
(316) 689-9102
Mailing address
1947 N FOUNDERS ST, WICHITA, KS 67206-3548
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1128
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3387209001
—
KS
Enumeration date
02/09/2007
Last updated
07/08/2007
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