Kenyon Audiology, Inc. | |
1625 Ne 2nd St Bend OR 97701-4046 | |
(541) 317-1265 | |
(541) 317-1273 |
Full Name | Kenyon Audiology, Inc. |
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Speciality | Clinic/Center |
Location | 1625 Ne 2nd St, Bend, Oregon |
Authorized Official Name and Position | Janet Lee Kenyon (OWNER) |
Authorized Official Contact | 5413171265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kenyon Audiology, Inc. 1625 Ne 2nd St Bend OR 97701-4046 Ph: (541) 317-1265 | Kenyon Audiology, Inc. 1625 Ne 2nd St Bend OR 97701-4046 Ph: (541) 317-1265 |
NPI Number | 1417383464 |
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Provider Enumeration Date | 09/23/2013 |
Last Update Date | 06/19/2014 |
Medicare PECOS PAC ID | 6608861232 |
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Medicare Enrollment ID | O20040414001880 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417383464 | NPI | - | NPPES |
064506 | Medicaid | OR | |
500660066 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 21288 (Oregon) | Primary |
Provider Name | Janet L Kenyon |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1720223753 PECOS PAC ID: 3870588403 Enrollment ID: I20140623001714 |
Pine Springs Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-480-2827 | |
St. Charles Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Mosaic Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005 | |
Adam Derr, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 | |
Driven Enterprises Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930 | |
Bend Plastic Surgery Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1239 Ne Medical Center Dr Ste 240, Bend, OR 97701 Phone: 541-749-2282 Fax: 541-749-2283 | |
St. Charles Immediate Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730 |