Charles L Gillum, AUD. Valid NPI

Individual provider · Audiologist · Manhattan, KS

NPI

1407933583

Type

Individual (Type 1)

Primary specialty

Audiologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

231H00000X

License number

368 (KS)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-01

Last updated

2007-07-08