Individual
PAUL DEAN WIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEARING INSTRUMENT S
Contact information
Practice address
604 B N MULBERRY ST, ELIZABETHTOWN, KY 42701
(270) 735-9352
(270) 735-9360
Mailing address
604 B N MULBERRY ST, ELIZABETHTOWN, KY 42701
(270) 735-9352
(270) 735-9360
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
12126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50000611
—
KY
Enumeration date
08/14/2007
Last updated
08/14/2007
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