Provider Demographics
NPI:1346879442
Name:ROWDEN, PAUL GENE (HAD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:GENE
Last Name:ROWDEN
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8911 W MAPLE ST STE A
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-1468
Mailing Address - Country:US
Mailing Address - Phone:316-260-2315
Mailing Address - Fax:316-260-2354
Practice Address - Street 1:8911 W MAPLE ST STE A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-1468
Practice Address - Country:US
Practice Address - Phone:316-260-2315
Practice Address - Fax:316-260-2354
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1235237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist