Organization
KNECHT AUDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL RENEE KNECHT LOY AUD (OWNER)
(765) 474-4544
Entity
Organization
Contact information
Practice address
2606 VETERANS MEMORIAL PKWY S, STE. 1, LAFAYETTE, IN 47909-9192
(765) 474-4544
(765) 474-1122
Mailing address
2606 VETERANS MEMORIAL PKWY S, STE. 1, LAFAYETTE, IN 47909-9192
(765) 474-4544
(765) 474-1122
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370115
ANTHEM PIN NUMBER
IN
01
—
1902828031
TYPE 1 NPI NUMBER
IN
Enumeration date
03/22/2007
Last updated
05/21/2014
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