| Organization Name: | KENWOOD HEARING CENTER INC |
| NPI Number: | 1508088113 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE KINKER JOHNSON (AUDIOLOGIST) |
| Mailing Address: | 725 S Shoop Ave Fulton County Health Center Mob Wauseon |
| State: | OH US |
| Postal Code: | 43567 |
| Phone Number: | 4195343111 |
| Fax Number: | 4195343113 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Practitioner |
| Taxonomy Definition: | |