Provider Demographics
NPI:1134543309
Name:HIDALGO, AMY D
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:D
Last Name:HIDALGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 S ASH CIR
Mailing Address - Street 2:
Mailing Address - City:HAYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67060-7514
Mailing Address - Country:US
Mailing Address - Phone:316-737-9344
Mailing Address - Fax:
Practice Address - Street 1:8420 S ASH CIR
Practice Address - Street 2:
Practice Address - City:HAYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:67060-7514
Practice Address - Country:US
Practice Address - Phone:316-737-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-09
Last Update Date:2014-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1456237700000X
OK1038237700000X
NE766237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist