KEN KIDD INC DBA MIRACLE-EAR (NPI# 1679873046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679873046 |
| Entity Type | Organization |
| Organization Name | KEN KIDD INC DBA MIRACLE-EAR |
| Practice Address |
1148 W. 103rd St Kansas City MO 64114 |
| Mailing Address |
7410 W 119th Street Overland Park KS 66213 |
| Practice Telephone | 8169424300 |
| Practice Fax Number | 8169424302 |
| Mailing Telephone | 9134980909 |
| Mailing Fax Number | 8169424302 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | MR. KENNTETH WAYNE KIDD (OWNER) |
| Authorized Official Telephone | 9134980909 |
| Authorized Official Credential | H.I.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | 1345 | KS | Speech, Language and Hearing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | 2007008453 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
1148 W. 103RD ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| 1487892279 | Roger Goldblatt | Social Worker | 9233 Ward Parkway Suite 1125, Kansas City, MO 64114 | 2009-02-02 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154977312 | Kristen Mccorkle | Hearing Instrument Specialist | 4240 Blue Ridge Blvd Ste 200, Kansas City, MO 64133-1704 | 2019-08-14 |
| 1548518731 | David P Lewis | Hearing Instrument Specialist | 4657 Blue Ridge Blvd, Kansas City, MO 64133-2018 | 2012-08-21 |
| 1700158631 | Kerby Lane Ball | Hearing Instrument Specialist | 13610 Washington St, Kansas City, MO 64145-1670 | 2012-02-08 |
| 1205016565 | Shawn Patrick Stanley | Hearing Instrument Specialist | 27 Nw Barry Rd, Kansas City, MO 64155-2728 | 2007-11-05 |
| 1609261866 | Stuart Pollack | Hearing Instrument Specialist | 4240 Blue Ridge Blvd, Kansas City, MO 64133-1713 | 2015-04-03 |
| 1023361458 | Stanley Hearing & Audiology | Hearing Instrument Specialist | 27 Nw Barry Rd, Kansas City, MO 64155-2728 | 2012-10-23 |
| 1699921551 | Jkr Labs, Inc. | Hearing Instrument Specialist | 8600 Ward Pkwy, Suite 2080, Kansas City, MO 64114-2614 | 2008-08-12 |
| 1497925663 | Randolph L Youmans | Hearing Instrument Specialist | 3805 N Oak Trfy, Kansas City, MO 64116-2611 | 2008-03-04 |
| 1639379340 | Dustin Shane Spaulding | Hearing Instrument Specialist | 4240 Blue Ridge Blvd, Kansas City, MO 64133-1713 | 2007-07-20 |
| 1437369774 | Gary E Mcclung | Hearing Instrument Specialist | 5701 State Ave, Suite 100, Kansas City, KS 66102-1236 | 2007-05-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on KEN KIDD INC DBA MIRACLE-EAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.