Provider Demographics
NPI:1649479288
Name:KIND, MARK W (BC HIS BOARD CERTIFI)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:W
Last Name:KIND
Suffix:
Gender:M
Credentials:BC HIS BOARD CERTIFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 VINE
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601
Mailing Address - Country:US
Mailing Address - Phone:785-628-3279
Mailing Address - Fax:785-628-3898
Practice Address - Street 1:4301 VINE
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-628-3279
Practice Address - Fax:785-628-3898
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKANSAS1184237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist