Organization
KILLEAN AUDIOLOGY & HEARING AID CTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA K STARK NBC HIS (DISPENSER)
(563) 242-7852
Entity
Organization
Contact information
Practice address
1601 52ND AVE, SUITE 6, MOLINE, IL 61265
(309) 762-6467
(309) 762-7218
Mailing address
206 4TH AVE S, CLINTON, IA 52732
(563) 242-7852
(563) 242-0452
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093153
—
IA
05
—
0184481
—
IA
Enumeration date
02/02/2007
Last updated
08/22/2020
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