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Individual
DAENA C. WILDS
Active
Individual
DAENA C. WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
100082
KY
231H00000X
Audiologist
Primary
KY-0136
KY
237600000X
Audiologist-Hearing Aid Fitter
0532
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640004124
RR MEDICARE PIN
GA
05
—
70005327
—
KY
01
—
CB5773
RR MEDICARE GRP
GA
01
—
K117240
MEDICARE PTAN
KY
Enumeration date
09/13/2006
Last updated
07/28/2026
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