Healthcare Provider Details

I. General information

NPI: 1679104004
Provider Name (Legal Business Name): HEAR KY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S MAIN ST
FRANKLIN KY
42134-2113
US

IV. Provider business mailing address

105 S MAIN ST
FRANKLIN KY
42134-2113
US

V. Phone/Fax

Practice location:
  • Phone: 270-776-9906
  • Fax:
Mailing address:
  • Phone: 270-776-9906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: RYAN G BROYLES
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 270-776-9905