Individual
DR. JENNIFER DYE WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A, AU.D
Contact information
Practice address
111 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 584-3573
(502) 515-3325
Mailing address
117 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 584-3573
(502) 515-3325
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0467
KY
231H00000X
Audiologist
23002340A
IN
237700000X
Hearing Instrument Specialist
0929
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352564
ANTHEM
IN
05
—
200137900A
—
IN
01
—
P00136043
RAILROAD / TRAVELER
IN
Enumeration date
01/13/2006
Last updated
01/22/2011
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