Individual
SHELLY KAY KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 MAIN ST, GREAT BEND, KS 67530-2549
(620) 603-6445
Mailing address
910 LAWRENCE ST, PRATT, KS 67124-1438
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1792
KS
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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