Healthcare Provider Details

I. General information

NPI: 1972576544
Provider Name (Legal Business Name): KATHLEEN DIANE MEIER HEARING INSTRUMENT S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 11/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N ANKENY BLVD STE 130
ANKENY IA
50023
US

IV. Provider business mailing address

6700 WASHINGTON AVE S
EDEN PRAIRIE MN
55344-3405
US

V. Phone/Fax

Practice location:
  • Phone: 515-964-2523
  • Fax: 319-235-5360
Mailing address:
  • Phone: 612-351-1529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number863
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: