Organization
AUDIOLOGY & HEARING CENTER OF FARMINGTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RENEE MELTON AU.D. (PRESIDENT)
(573) 756-0500
Entity
Organization
Contact information
Practice address
620 WALTON DR, FARMINGTON, MO 63640-1935
(573) 756-0500
(573) 756-0505
Mailing address
620 WALTON DR, FARMINGTON, MO 63640-1935
(573) 756-0500
(573) 756-0505
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
113484
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193973
BCBS
MO
05
—
338885437
—
MO
01
—
45-00144
UHC
MO
01
—
621859
HEALTHLINK
MO
01
—
7035519
AETNA
MO
Enumeration date
06/11/2006
Last updated
08/17/2018
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