Healthcare Provider Details

I. General information

NPI: 1316448046
Provider Name (Legal Business Name): KALLIO AUDIOLOGY & HEARING CARE OF LEXINGTON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 CORPORATE DR
LEXINGTON KY
40503-5416
US

IV. Provider business mailing address

4081 CLEARWATER WAY
LEXINGTON KY
40515-6043
US

V. Phone/Fax

Practice location:
  • Phone: 231-330-1167
  • Fax:
Mailing address:
  • Phone: 231-330-1167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number102471
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number100027
License Number StateKY

VIII. Authorized Official

Name: DR. KAREN KALLIO
Title or Position: DR. OF AUDIOLOGY
Credential: AU.D., CCC/A
Phone: 231-330-1167