Provider Demographics
NPI:1790016582
Name:KANZAN HEARING CARE GROUP, INC
Entity Type:Organization
Organization Name:KANZAN HEARING CARE GROUP, INC
Other - Org Name:HEARING ASSOCIATES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:620-481-4677
Mailing Address - Street 1:1727 HAMMOND DR
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-5312
Mailing Address - Country:US
Mailing Address - Phone:620-481-4681
Mailing Address - Fax:913-384-9612
Practice Address - Street 1:8901 W 74TH ST STE 150
Practice Address - Street 2:
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2282
Practice Address - Country:US
Practice Address - Phone:913-384-5880
Practice Address - Fax:913-384-9612
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KANZAN HEARING CARE GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty