Healthcare Provider Details

I. General information

NPI: 1174800510
Provider Name (Legal Business Name): KEVIN ASCHERFELD AU.D, CCC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W 4TH ST
ROSWELL NM
88201-3038
US

IV. Provider business mailing address

PO BOX 3062
ROSWELL NM
88202-3062
US

V. Phone/Fax

Practice location:
  • Phone: 575-623-8474
  • Fax:
Mailing address:
  • Phone: 928-243-4419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT007076
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA12508
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD7192
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA12508
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: