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Individual

CASEY RUTLEDGE ROOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0525
KY
237600000X
Audiologist-Hearing Aid Fitter
1023
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100161820
KY
Enumeration date
06/17/2010
Last updated
05/20/2014
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