Individual
ALICE KEITHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8606 W 13TH ST N STE 160, WICHITA, KS 67212-6208
(316) 721-4138
Mailing address
8606 W 13TH ST N STE 160, WICHITA, KS 67212-6208
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2505
KS
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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