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NPI Code Detail

MEDICARE: KNELA TRACY

MEDICARE:   KNELA  TRACY
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
1237700000XHearing Instrument SpecialistIL.03592OH

General Provider Information

NPI Number : 1568305324
Entity Type Code : Individual
Provider Name (Legal Business Name) : KNELA TRACY
Provider Business Mailing Address
First Line : 109 BEECHGROVE AVE
Second Line :
City : BATESVILLE
State : IN
Zip : 47006-1414
Country : US
Telephone Number : 773-962-1076
Fax Number :
Provider Business Practice Location Address
First Line : 3302 WESTBOURNE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-5133
Country : US
Telephone Number : 513-922-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ KNELA TRACY ” Practice Location

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