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General NPI Number Information
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NPI Number | 1629060348
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Entity Type | Organization
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Legal Business Name | KDKN INC
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1501 13TH ST
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City | HOOD RIVER
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State | OR
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Zip | 97031-1924
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Country | US
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Telephone | 541-386-1666
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Fax | 541-386-1594
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Provider Business Mailing Address
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Address Line | 1501 13TH ST
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City | HOOD RIVER
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State | OR
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Zip | 97031-1924
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Country | US
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Telephone | 541-386-1666
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Fax | 541-386-1594
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEITH MICHAEL CASTRO
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Credential |
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Telephone | 541-386-1666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 22567
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-P-151421
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License Number State | OR
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