Bailey G Moderson, AUD

NPI #1700260155 in Leavenworth, Kansas

Provider Information

NPI Number: 1700260155
Entity Type: Individual
Name: Bailey G Moderson, AUD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AUD
Enumeration Date: Jul 15, 2015
Last Updated: Aug 15, 2022

Practice Location

Address: 1001 6TH AVE STE 105
City: Leavenworth
State: Kansas
ZIP Code: 66048-3269
Phone: (913) 682-1870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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