# BLUEGRASS AUDIOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bluegrass Audiology & Hearing Aids
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861796302
- **Authorized official:** MS. KIMBERLY HELEN DESMOND MS, CCC-A (AUDIOLOGIST, HEARING INSTRUMENT SPE)
- **Authorized official phone:** (904) 445-1622

## Contact information

- **Practice address:** 100 JOHN SUTHERLAND DR, SUITE 4, NICHOLASVILLE, KY 40356-2424
- **Practice address phone:** (859) 885-0150
- **Practice address fax:** (859) 885-0175
- **Mailing address:** 8550 TOUCHTON RD APT 2236, JACKSONVILLE, FL 32216-2237
- **Mailing address phone:** (904) 445-1622
- **Mailing address fax:** (904) 293-1815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | KY-0419 | KY | Yes |
| 237700000X | Hearing Instrument Specialist | KY-0814 | KY | — |

## Other

- **Enumeration date:** 12/24/2010
- **Last updated:** 02/20/2020