Individual
MARK JEFFREY HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-A
Contact information
Practice address
4004 DUPONT CIR, STE 220, LOUISVILLE, KY 40207-4819
(502) 893-0159
Mailing address
4004 DUPONT CIR, STE 220, LOUISVILLE, KY 40207-4819
(502) 893-0159
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
KY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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