Provider Demographics
NPI:1568902021
Name:K4 ENTERPRISES LLC
Entity Type:Organization
Organization Name:K4 ENTERPRISES LLC
Other - Org Name:MIRACLE EAR CENTERS OF KANSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EICH
Authorized Official - Suffix:
Authorized Official - Credentials:BC HIS
Authorized Official - Phone:402-850-0098
Mailing Address - Street 1:19104 FRANCES CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2979
Mailing Address - Country:US
Mailing Address - Phone:402-850-0098
Mailing Address - Fax:
Practice Address - Street 1:5999 SW 22ND PARK
Practice Address - Street 2:STE A
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1901
Practice Address - Country:US
Practice Address - Phone:785-408-8288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment