Healthcare Provider Details

I. General information

NPI: 1427837079
Provider Name (Legal Business Name): LEAHY AUDIOLOGY AND HEARING AIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 S JACKSON ST STE A
FRANKFORT IN
46041-3314
US

IV. Provider business mailing address

1303 S JACKSON ST STE A
FRANKFORT IN
46041-3314
US

V. Phone/Fax

Practice location:
  • Phone: 765-202-4221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN DAVID LEAHY
Title or Position: OWNER
Credential: AU.D.
Phone: 765-202-4221