Healthcare Provider Details

I. General information

NPI: 1033381314
Provider Name (Legal Business Name): KAY L HRANICHNY M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 S CENTRE ST
POTTSVILLE PA
17901-3001
US

IV. Provider business mailing address

26 S CENTRE ST
POTTSVILLE PA
17901-3001
US

V. Phone/Fax

Practice location:
  • Phone: 570-622-5759
  • Fax: 570-628-0841
Mailing address:
  • Phone: 570-622-5759
  • Fax: 570-628-0841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000034L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAT000034L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberAT000034L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAT000034L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: