Individual
INGRID EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
117 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 584-3573
(502) 583-6364
Mailing address
111 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 515-3320
(502) 515-3325
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0312
KY
237700000X
Hearing Instrument Specialist
0727
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233795
ANTHEM
KY
05
—
200142970
—
IN
01
—
640004489
RAILROAD MEDICARE
KY
05
—
70000906
—
KY
Enumeration date
02/09/2006
Last updated
04/06/2020
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