| |
406 Blankenbaker Ln, Suite A, Louisville, KY 40243-1202 | |
(502) 245-5101 | |
(502) 245-7602 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 406 Blankenbaker Ln, Louisville, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740277482 | NPI | - | NPPES |
000000045845 | Other | KY | ANTHEM PIN |
1196910 | Other | KY | CHA HEALTH PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
406 Blankenbaker Ln, Suite A, Louisville, KY 40243-1202 Ph: (502) 245-5101 | 406 Blankenbaker Ln, Suite A, Louisville, KY 40243-1202 Ph: (502) 245-5101 |