Provider Demographics
NPI:1770123705
Name:KC HEARING CENTER LLC
Entity type:Organization
Organization Name:KC HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:816-605-9855
Mailing Address - Street 1:6528 RAYTOWN RD STE I
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-5023
Mailing Address - Country:US
Mailing Address - Phone:816-737-0055
Mailing Address - Fax:816-737-8834
Practice Address - Street 1:6528 RAYTOWN RD STE I
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-5023
Practice Address - Country:US
Practice Address - Phone:816-737-0055
Practice Address - Fax:816-737-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty