Individual
AMY HAM NUNNELEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
20375 W 151ST ST STE 106, OLATHE, KS 66061-5353
(913) 312-1774
(913) 764-7502
Mailing address
4604 W 65TH ST, PRAIRIE VLG, KS 66208-1531
(816) 651-5448
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
1948
KS
231HA2500X
Assistive Technology Supplier Audiologist
2011019423
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1948
AUDIOLOGY LICENSE
KS
01
—
2011019423
AUDIOLOGY LICENSE
MO
Enumeration date
07/25/2011
Last updated
08/18/2021
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