Provider Demographics
NPI:1639691488
Name:POPEJOY, SEVERENA L (AUD)
Entity Type:Individual
Prefix:DR
First Name:SEVERENA
Middle Name:L
Last Name:POPEJOY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:SEVERENA
Other - Middle Name:L
Other - Last Name:KIMBALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:5370 COLLEGE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1891
Mailing Address - Country:US
Mailing Address - Phone:913-599-4800
Mailing Address - Fax:913-599-2992
Practice Address - Street 1:5370 COLLEGE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1891
Practice Address - Country:US
Practice Address - Phone:913-599-4800
Practice Address - Fax:913-599-2992
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1714237600000X
KS2423231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2324OtherDEPARTMENT FOR AGING AND DISABILITY SERVICES