Advanced Audiology Associates, Llc | |
912 Meramec Station Rd Ste F, Valley Park, MO 63088-2045 | |
(618) 939-6861 | |
Not Available |
Full Name | Advanced Audiology Associates, Llc |
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Type | Facility |
Speciality | Audiologist |
Location | 912 Meramec Station Rd Ste F, Valley Park, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134528375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | 2013008765 (Missouri) | Primary |
Provider Name | Brandi Pettis |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1235301771 PECOS PAC ID: 1759456791 Enrollment ID: I20141210001612 |
Provider Name | Jacob Michael Swanson |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1538757828 PECOS PAC ID: 0143633370 Enrollment ID: I20210107002722 |
Provider Name | Kelly Kiley Knighten |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1710147343 PECOS PAC ID: 3870669674 Enrollment ID: I20230608000877 |
Mailing Address | Practice Location Address |
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Advanced Audiology Associates, Llc 912 Meramec Station Rd Ste F, Valley Park, MO 63088-2045 Ph: () - | Advanced Audiology Associates, Llc 912 Meramec Station Rd Ste F, Valley Park, MO 63088-2045 Ph: (618) 939-6861 |
Ms. Kelly Kiley Knighten, AU.D., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 912 Meramec Station Rd Ste F, Valley Park, MO 63088 Phone: 636-825-9999 |