Healthcare Provider Details

I. General information

NPI: 1558055673
Provider Name (Legal Business Name): KEY HEARING AIDS OF VALPARAISO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 06/14/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 BURLINGTON BEACH RD
VALPARAISO IN
46383
US

IV. Provider business mailing address

40 EXECUTIVE DR STE E
CARMEL IN
46032-5478
US

V. Phone/Fax

Practice location:
  • Phone: 888-539-4327
  • Fax:
Mailing address:
  • Phone: 831-277-2694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: GANESH KRIPAPURI
Title or Position: MANAGER
Credential:
Phone: 831-277-2694