MEDICARE: HEAR AT YOUR SERVICE LLC

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1851984629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAR AT YOUR SERVICE LLC

Provider Business Mailing Address
First Line	:	1036 AMBERLEY WAY STE A
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8979
Country	:	US
Telephone Number	:	859-623-4458
Fax Number	:	859-623-4458

Provider Business Practice Location Address
First Line	:	1036 AMBERLEY WAY STE A
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8979
Country	:	US
Telephone Number	:	859-623-4458
Fax Number	:	859-623-4459

Authorized Official
Title or Position	:	OWNER
Name	:	DEANNA LYNN FRAZIER
Credential	:	AUD
Telephone Number	:	859-623-4458

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	07/02/2021

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Directions to “HEAR AT YOUR SERVICE LLC ” Practice Location

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