Mary Kay Witte is a Audiologist in Pueblo, Colorado. Mary Kay Witte practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Mary Kay Witte is 1497966154. The last update date is 2007-07-09.
Mary Kay Witte's current location address is 1471 29th Ln, Pueblo, Colorado. You can contact this provider via phone number 7199484609. The mailing address for Mary Kay Witte is 1471 29th Ln, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kay Witte |
|---|---|
| Address | 1471 29th Ln, Pueblo, Colorado |
| Phone Number | 7199484609 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497966154 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1471 29th Ln |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810069649 |
| Phone Number | 7199484609 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 7169 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13783840 | CO | -- |
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What is the Mary Kay Witte's unique identification number?
The Mary Kay Witte has been assigned the NPI (National Provider Identifier) Number 1497966154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Mary Kay Witte located?
The Mary Kay Witte is located at 1471 29Th Ln, Pueblo, CO 810069649.
What is Mary Kay Witte's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Kay Witte is Audiologist, and the taxonomy code that classifies this field of practice is 231H00000X.
When was the Mary Kay Witte's 1497966154 issued?
The Mary Kay Witte's 1497966154 was issued on 2007-05-24.
When was the Mary Kay Witte's information last updated?
The Mary Kay Witte's information was last updated on 2007-07-09.