Healthcare Provider Details

I. General information

NPI: 1144776097
Provider Name (Legal Business Name): AUDIOLOGY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HENRY CLAY BLVD
LEXINGTON KY
40502-1024
US

IV. Provider business mailing address

350 HENRY CLAY BLVD
LEXINGTON KY
40502-1024
US

V. Phone/Fax

Practice location:
  • Phone: 859-268-4545
  • Fax: 859-269-1857
Mailing address:
  • Phone: 859-268-4545
  • Fax: 859-269-1857

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: MRS. MARCEY E ANSLEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 859-268-4545