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Individual
SUE M WINDMILL
Active
Individual
SUE M WINDMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU D
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
0161
KY
231H00000X
Audiologist
Primary
3325
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06631761
—
MS
01
—
1115678
PASSPORT
KY
05
—
155478
—
AL
05
—
200256380A
—
IN
01
—
50000009
KY MEDICAID HEARING AID
KY
05
—
70000112
—
KY
Enumeration date
01/24/2006
Last updated
02/05/2014
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