Healthcare Provider Details

I. General information

NPI: 1235447913
Provider Name (Legal Business Name): AMANDA KRISTINE KREIMER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13430 N MERIDIAN ST STE 204
CARMEL IN
46032-1484
US

IV. Provider business mailing address

13430 N MERIDIAN ST STE 204
CARMEL IN
46032-1484
US

V. Phone/Fax

Practice location:
  • Phone: 317-582-9029
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number23002528A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number23002528A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: