Healthcare Provider Details

I. General information

NPI: 1720365588
Provider Name (Legal Business Name): CALDWELL AND COOK HEARING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3940 S DANVILLE BYP
DANVILLE KY
40422-2529
US

IV. Provider business mailing address

3940 S DANVILLE BYP
DANVILLE KY
40422-2529
US

V. Phone/Fax

Practice location:
  • Phone: 859-236-3865
  • Fax: 859-236-1690
Mailing address:
  • Phone: 859-236-3865
  • Fax: 859-236-1690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MARION CALDWELL
Title or Position: AUDIOLOGIST/OWNER
Credential:
Phone: 859-236-3865