Organization
CLINICAL AUDIOLOGY OF LOUISVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J BROWN II AU.D. (OWNER)
(502) 893-5105
Entity
Organization
Contact information
Practice address
3999 DUTCHMANS LN, SUBURBAN MEDICAL PLAZA I STE 4C, LOUISVILLE, KY 40207-4736
(502) 893-5105
(502) 893-5104
Mailing address
3999 DUTCHMANS LN, SUBURBAN MEDICAL PLAZA I STE 4C, LOUISVILLE, KY 40207-4736
(502) 893-5105
(502) 893-5104
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0322
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640587001
RAILROAD MEDICARE
KY
Enumeration date
01/05/2007
Last updated
08/17/2011
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