Provider Demographics
NPI:1164810040
Name:AMERICAN HEARING & AUDIOLOGY
Entity Type:Organization
Organization Name:AMERICAN HEARING & AUDIOLOGY
Other - Org Name:AMERICAN HEARING & AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:913-338-1200
Mailing Address - Street 1:4701 COLLEGE BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1934
Mailing Address - Country:US
Mailing Address - Phone:913-338-1200
Mailing Address - Fax:913-338-1200
Practice Address - Street 1:3633 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66206-2034
Practice Address - Country:US
Practice Address - Phone:913-338-1200
Practice Address - Fax:913-338-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-31
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2163332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment