MEDICARE: KRISTI HIGHLEY HIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	02983	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LT.02983	OTHER	OH	LISCENSE

General Provider Information

NPI Number	:	1205478260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI HIGHLEY HIS

Provider Business Mailing Address
First Line	:	8401 CLAUDE THOMAS RD STE 36
Second Line	:
City	:	FRANKLIN
State	:	OH
Zip	:	45005-1475
Country	:	US
Telephone Number	:	937-790-3920
Fax Number	:	937-790-3921

Provider Business Practice Location Address
First Line	:	8401 CLAUDE THOMAS RD STE 36
Second Line	:
City	:	FRANKLIN
State	:	OH
Zip	:	45005-1475
Country	:	US
Telephone Number	:	937-790-3920
Fax Number	:	937-790-3921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2019
Last Update Date	:	11/27/2023

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Directions to “ KRISTI HIGHLEY HIS” Practice Location

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