Organization
KNUDSEN, INC.
Active
Other names
Independent Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EUGENE KNUDSEN AU.D. (OWNER/MANAGER)
(970) 817-1965
Entity
Organization
Contact information
Practice address
1014 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 817-1965
Mailing address
1020 WABASH ST, UNIT 5-104, FORT COLLINS, CO 80526-3191
(970) 817-1965
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
NO. 42
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23002456A
INDIANA AUDIOLOGY LICENSE
IN
01
—
42
ALASKA AUDIOLOGY LICENSE
AK
01
—
643
COLORADO AUDIOLOGY LICENSE
CO
Enumeration date
02/16/2007
Last updated
09/17/2012
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