NPI 1407933583

Charles L Gillum, AUD

Practitioner Audiologist Manhattan, KS

Practice location

Address: 1213 Hylton Heights Rd Sutie 105, Manhattan, KS 66502-2810
Phone: (785) 537-4005

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 368 (KS)

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Registry record

NPI: 1407933583
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.