Healthcare Provider Details

I. General information

NPI: 1194983643
Provider Name (Legal Business Name): HEAR IN KENTUCKY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102A FAIRFAX AVE
LOUISVILLE KY
40207-4906
US

IV. Provider business mailing address

11800 SHELBYVILLE RD SUITE 6
LOUISVILLE KY
40243-1476
US

V. Phone/Fax

Practice location:
  • Phone: 502-897-9560
  • Fax: 502-897-9577
Mailing address:
  • Phone: 502-244-1354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number StateKY

VIII. Authorized Official

Name: CHARLES J OGDEN JR.
Title or Position: CFO
Credential:
Phone: 502-244-1354