Organization
SOUTHEAST KENTUCKY AUDIOLOGY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ROGERS (PRESIDENT/OWNER)
(606) 528-9993
Entity
Organization
Contact information
Practice address
200 ALLISON BLVD, CORBIN, KY 40701-7964
(606) 528-9993
(606) 528-5553
Mailing address
200 ALLISON BLVD, CORBIN, KY 40701-7964
(606) 528-9993
(606) 528-5553
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
237700000X
Hearing Instrument Specialist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
00380
KY
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000294056
ANTHEM BC/BS
KY
01
—
1205224
CHA
KY
01
—
30954
BLUEGRASS FAMILY HEALTH
KY
05
—
70001037
—
KY
01
—
C66002
CHI
—
Enumeration date
12/03/2007
Last updated
08/29/2023
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