Provider Demographics
NPI:1932745684
Name:WINDER, WILLIAM DEAN
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DEAN
Last Name:WINDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 S WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHANUTE
Mailing Address - State:KS
Mailing Address - Zip Code:66720-1979
Mailing Address - Country:US
Mailing Address - Phone:620-431-4840
Mailing Address - Fax:620-431-4856
Practice Address - Street 1:19 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHANUTE
Practice Address - State:KS
Practice Address - Zip Code:66720-2401
Practice Address - Country:US
Practice Address - Phone:620-431-4840
Practice Address - Fax:620-431-4856
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1623237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist