MEDICARE: DR. PAUL DAVID KUSTER AU.D.

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	237600000X	Audiologist-Hearing Aid Fitter		VA
2	231H00000X	Audiologist	2201001458	VA
3	237700000X	Hearing Instrument Specialist		VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q38641A827	OTHER	VA	MEDICARE

General Provider Information

NPI Number	:	1407982671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL DAVID KUSTER AU.D.

Provider Business Mailing Address
First Line	:	2119 LAFAYETTE BLVD
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-2227
Country	:	US
Telephone Number	:	540-373-6797
Fax Number	:	540-373-6973

Provider Business Practice Location Address
First Line	:	2119 LAFAYETTE BLVD
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-2227
Country	:	US
Telephone Number	:	540-373-6797
Fax Number	:	540-373-6973

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

Provider Enumeration Date	:	02/24/2007
Last Update Date	:	04/13/2026

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