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KOOTENAI AUDIOLOGY LLC NPI 1073821542


NPI Information

NPI: 1073821542
Provider Name: KOOTENAI AUDIOLOGY, LLC
Classification: Audiologist - 231HA2500X
Entity Type: Organization

Specialization: Assistive Technology Supplier

Address:
700 W IRONWOOD DR
SUITE 236
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 765-1345
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KOOTENAI AUDIOLOGY, LLC is an assistive technology supplier audiologist in Coeur D Alene, ID. KOOTENAI AUDIOLOGY, LLC NPI is 1073821542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 W IRONWOOD DR
SUITE 236
COEUR D ALENE, ID
ZIP 83814-656
Phone: (208) 765-1345
Fax: (208) 667-9622

The provider's authorized official is Robert C Farr .
The authorized official title is Owner and has the following contact phone number (208) 765-1345.

The enumeration date for this NPI number is 9/18/2010 and was last updated on 9/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231HA2500XAudiologistAssistive Technology SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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