Organization
KEN-BEL, INC
Active
Other names
Avada Audiology & Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA BARLOW CCC-A (PRESIDENT)
(502) 245-5101
Entity
Organization
Contact information
Practice address
406 BLANKENBAKER LN, SUITE A, LOUISVILLE, KY 40243-1202
(502) 245-5101
(502) 245-7602
Mailing address
406 BLANKENBAKER LN, SUITE A, LOUISVILLE, KY 40243-1202
(502) 245-5101
(502) 245-7602
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045845
ANTHEM PIN
KY
01
—
1196910
CHA HEALTH PIN
KY
Enumeration date
09/27/2005
Last updated
09/04/2009
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