# KEYSTONE HEARING INSTITUTE

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

## Provider details

- **NPI number:** 1922138445
- **Authorized official:** MR. ANTHONY WAYNE FOWLER AU.D. FAAA (OWNER)
- **Authorized official phone:** (717) 646-9300

## Contact information

- **Practice address:** 250 FAME AVE, SUITE 222, HANOVER, PA 17331-1587
- **Practice address phone:** (717) 646-9300
- **Practice address fax:** (717) 646-9322
- **Mailing address:** 250 FAME AVE, SUITE 222, HANOVER, PA 17331-1587
- **Mailing address phone:** (717) 646-9300
- **Mailing address fax:** (717) 646-9322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AT001146L | PA | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 06/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0018229820002 | — | PA |