Healthcare Provider Details

I. General information

NPI: 1518736131
Provider Name (Legal Business Name): ARCH AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 UNION RD STE 211
SAINT LOUIS MO
63129-1070
US

IV. Provider business mailing address

4121 UNION RD STE 211
SAINT LOUIS MO
63129-1070
US

V. Phone/Fax

Practice location:
  • Phone: 314-947-0533
  • Fax:
Mailing address:
  • Phone: 314-947-0533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN KRAMER
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 314-947-0533