| NPI | 1639183585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEULAH JACKSON Insurance Clerk 606-679-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0242) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TN 1142) |
| 237700000X Hearing Instrument Specialist (Licence: KY 621) | |
| 237700000X Hearing Instrument Specialist (Licence: TN 589) | |
| 237700000X Hearing Instrument Specialist (Licence: VA 2101) | |
| 237700000X Hearing Instrument Specialist (Licence: KY 188) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |