Healthcare Provider Details

I. General information

NPI: 1477735983
Provider Name (Legal Business Name): SUMMER RAYE KARNS HEARD AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 LEIGHTON AVE
ANNISTON AL
36207-5748
US

IV. Provider business mailing address

822 HIDDEN LN
JACKSONVILLE AL
36265-8903
US

V. Phone/Fax

Practice location:
  • Phone: 256-485-2810
  • Fax:
Mailing address:
  • Phone: 256-485-2810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number0997A
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number0997A
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0997A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: