Provider Demographics
NPI:1386408417
Name:PARKINSON, ETHAN HUNTER AVERY
Entity type:Individual
Prefix:
First Name:ETHAN
Middle Name:HUNTER AVERY
Last Name:PARKINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7327 W 97TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2210
Mailing Address - Country:US
Mailing Address - Phone:913-648-4884
Mailing Address - Fax:913-648-6245
Practice Address - Street 1:7327 W 97TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2210
Practice Address - Country:US
Practice Address - Phone:913-648-4884
Practice Address - Fax:913-648-6245
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist