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Organization
BLUEGRASS HEARING CLINIC, LLC
Active
Organization
BLUEGRASS HEARING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MCCALL LANTER (OWNER/CEO)
(859) 987-3272
Entity
Organization
Contact information
Practice address
116 MERIDIAN WAY STE 1, RICHMOND, KY 40475-2876
(859) 623-4458
(859) 623-4459
Mailing address
116 MERIDIAN WAY STE 1, RICHMOND, KY 40475-2876
(859) 623-4458
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
—
NULL
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041650
ANTHEM
KY
05
—
70006507
—
KY
Enumeration date
10/26/2007
Last updated
10/14/2020
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