Healthcare Provider Details

I. General information

NPI: 1033361605
Provider Name (Legal Business Name): TINDER KRAUSS TINDER HEARING AID CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 BURT RD
LEXINGTON KY
40503-2411
US

IV. Provider business mailing address

124 BURT RD
LEXINGTON KY
40503-2411
US

V. Phone/Fax

Practice location:
  • Phone: 859-276-3277
  • Fax: 859-277-2405
Mailing address:
  • Phone: 859-276-3277
  • Fax: 859-277-2405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberKY-0140
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberKY-0140
License Number StateKY

VIII. Authorized Official

Name: MR. JON DURKIN
Title or Position: PRESIDENT
Credential: BC-HIS, ACA
Phone: 859-276-3277