Healthcare Provider Details

I. General information

NPI: 1558510628
Provider Name (Legal Business Name): AUDIOLOGISTS & HEARING AID SPECIALISTS OF KENTUCKY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 HARRODSBURG RD B85
LEXINGTON KY
40504-3751
US

IV. Provider business mailing address

1401 HARRODSBURG RD B85
LEXINGTON KY
40504-3751
US

V. Phone/Fax

Practice location:
  • Phone: 829-276-4327
  • Fax: 859-278-0923
Mailing address:
  • Phone: 829-276-4327
  • Fax: 859-278-0923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number201
License Number StateKY

VIII. Authorized Official

Name: DR. VICTORIA CALLIHAN GRAFF
Title or Position: OWNER
Credential: AU. D.
Phone: 859-276-4327