Organization
KENTUCIANA HEARING AIDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VIRGINIA LYNN PHILLIPI (OWNER)
(800) 976-3380
Entity
Organization
Contact information
Practice address
636 SOUTHTOWN BLVD STE 5-400, OWENSBORO, KY 42303-7746
(800) 976-3380
Mailing address
636 SOUTHTOWN BLVD STE 5-400, OWENSBORO, KY 42303-7746
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0969480
ORGANIZATION NUMBER SECRETARY OF STATE
KY
Enumeration date
05/23/2017
Last updated
05/23/2017
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