Provider Demographics
NPI:1164861779
Name:ADVANCED AUDIOLOGY INC
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:785-320-7388
Mailing Address - Street 1:1133 COLLEGE AVE
Mailing Address - Street 2:SUITE C145
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2751
Mailing Address - Country:US
Mailing Address - Phone:785-320-7388
Mailing Address - Fax:785-320-6056
Practice Address - Street 1:1133 COLLEGE AVE
Practice Address - Street 2:SUITE C145
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2751
Practice Address - Country:US
Practice Address - Phone:785-320-7388
Practice Address - Fax:785-320-6056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2237231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty