# KNECHT AUDIOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396861100
- **Authorized official:** GAIL RENEE KNECHT LOY AUD (OWNER)
- **Authorized official phone:** (765) 474-4544

## Contact information

- **Practice address:** 2606 VETERANS MEMORIAL PKWY S, STE. 1, LAFAYETTE, IN 47909-9192
- **Practice address phone:** (765) 474-4544
- **Practice address fax:** (765) 474-1122
- **Mailing address:** 2606 VETERANS MEMORIAL PKWY S, STE. 1, LAFAYETTE, IN 47909-9192
- **Mailing address phone:** (765) 474-4544
- **Mailing address fax:** (765) 474-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23001969A | IN | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 05/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000370115 | ANTHEM PIN NUMBER | IN |
| 01 | — | 1902828031 | TYPE 1 NPI NUMBER | IN |