Individual
DR. KIMBERLY H LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
105 GREENBRIAR DR, SUITE A, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3595
(859) 259-4063
Mailing address
105 GREENBRIAR DR, SUITE A, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3595
(859) 259-4063
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
117
KY
237600000X
Audiologist-Hearing Aid Fitter
Primary
279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050374
ANTHEM
KY
01
—
000001189065
CHA
—
01
—
1189065
UNITED HEALTHCARE
—
05
—
5000-2799
—
KY
05
—
5090-0000
—
KY
05
—
7000117700
—
KY
Enumeration date
01/16/2006
Last updated
06/14/2016
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