Organization Name: | K & K HEARING ASSOCIATES, L.L.C. |
NPI Number: | 1003026352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIM DUANE KELLER (OWNER) |
Mailing Address: | 1549 Potomac Ave Hagerstown |
State: | MD US |
Postal Code: | 217422930 |
Phone Number: | 3017972344 |
Fax Number: | 2406259449 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 1581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |