Provider Demographics
NPI:1093800724
Name:KNITTEL, JUNE M (MS, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:M
Last Name:KNITTEL
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 VINE
Mailing Address - Street 2:NORTHRIDGE PLAZA #3
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601
Mailing Address - Country:US
Mailing Address - Phone:785-628-2514
Mailing Address - Fax:785-628-2514
Practice Address - Street 1:2705 VINE
Practice Address - Street 2:NORTHRIDGE PLAZA #3
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-628-2514
Practice Address - Fax:785-628-2514
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS00097231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100227860AMedicaid
KS0000015214OtherBLUE CROSS BLUE SHIELD OF
KS015214Medicare ID - Type Unspecified