NPI | 1861796302 |
---|---|
Doing Business As | BLUEGRASS AUDIOLOGY & HEARING AIDS |
Entity Type | Organization |
Authorized Contact | KIMBERLY HELEN DESMOND Audiologist, Hearing Instrument Spe 904-445-1622 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KY KY-0419) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY KY-0814) |
Enumeration Date | 2010-12-24 |
Last Update Date | 2020-02-20 |