Individual
AMANDA R GROVE-KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
980 W STATE ST., SALEM, OH 44460
(330) 726-3339
(330) 726-0482
Mailing address
1032 BOARDMAN CANFIELD RD, #102, YOUNGSTOWN, OH 44512
(330) 726-3339
(330) 726-0482
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000487075
ANTHEM
OH
01
—
000000503366
ANTHEM
OH
05
—
2097985
—
OH
Enumeration date
08/01/2006
Last updated
01/27/2010
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