Organization
KENYON AUDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET LEE KENYON AUD (OWNER)
(541) 317-1265
Entity
Organization
Contact information
Practice address
1625 NE 2ND ST, BEND, OR 97701-4046
(541) 317-1265
(541) 317-1273
Mailing address
1625 NE 2ND ST, BEND, OR 97701-4046
(541) 317-1265
(541) 317-1273
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
21288
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064506
—
OR
05
—
500660066
—
OR
Enumeration date
09/23/2013
Last updated
06/19/2014
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