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Deactivated NPI 1265448773 Deactivated / Inactive NPI Male Practitioner

Kevin Wilson Shanks , MS

Audiologist • Brighton, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kevin Shanks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2006
NPI Deactivation Date January 27, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Kevin Shanks, MS was a registered Audiologist practicing in Brighton, MI. Throughout an active medical career spanning 15 years, Kevin Shanks provided care at the practice location at 2250 GENOA BUSINESS PARK DR STE 130 until profile deactivation on 2021-01-27.

Practice Location & Contact Primary Location

Practice Address

2250 Genoa Business Park Dr Ste 130
Suite 130

Brighton, MI 481147372

Telephone 5173758846
Associated Practice Facility / Clinic
🏢 Garden City Audiology, Llc Facility NPI 1619485968

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Brighton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Brighton, MI (709 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License MI 1601000554

(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 auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated January 27, 2021

Record deactivated on January 27, 2021

NPI Profile Active August 19, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2017

Registered at 2250 GENOA BUSINESS PARK DR STE 130, SUITE 130, BRIGHTON, MI 481147372 (Tel: 5173758846)

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Updated Business Mailing Address August 19, 2017

Registered at 3094 CHELSEA CIR, ANN ARBOR, MI 481082722 (Tel: 5173758846)

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Provider Name / Credentials Updated August 19, 2017

Recorded as KEVIN SHANKS, M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2017

Audiologist (License #AY1032 in FL)

NPI Profile Active May 06, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 06, 2016

Registered at 2250 GENOA BUSINESS PARK DR STE 130, SUITE 130, BRIGHTON, MI 481147372 (Tel: 5173758846)

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Updated Business Mailing Address May 06, 2016

Registered at 3094 CHELSEA CIR, ANN ARBOR, MI 481082722 (Tel: 5173758846)

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Provider Name / Credentials Updated May 06, 2016

Recorded as KEVIN SHANKS, M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2016

Audiologist (License #1601000554 in MI)

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Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265448773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: May 06, 2016
Deactivation Date: January 27, 2021

Mailing Address

3094 Chelsea Cir

Ann Arbor, MI 481082722

Phone: 5173758846

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.