Healthcare Provider Details

I. General information

NPI: 1316485881
Provider Name (Legal Business Name): KENEALEY HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10002 AURORA AVE N SUITE 30
SEATTLE WA
98133-9347
US

IV. Provider business mailing address

10002 AURORA AVE N SUITE 30
SEATTLE WA
98133-9347
US

V. Phone/Fax

Practice location:
  • Phone: 206-782-1597
  • Fax: 206-902-4341
Mailing address:
  • Phone: 206-782-1597
  • Fax: 206-902-4341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZACHARIAH KENEALEY
Title or Position: OWNER/HEARING INSTRUMENT SPECIALIST
Credential: HIS
Phone: 206-782-1597