Healthcare Provider Details

I. General information

NPI: 1285249896
Provider Name (Legal Business Name): HANNAH DUNSMOOR AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HENRY CLAY BLVD
LEXINGTON KY
40502-1594
US

IV. Provider business mailing address

3352 TAHOE RD
LEXINGTON KY
40515-1708
US

V. Phone/Fax

Practice location:
  • Phone: 859-268-4545
  • Fax:
Mailing address:
  • Phone: 315-591-3925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number263727
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number264132
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: