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ANNA C KENNERKNECHT AU.D. CCC-A NPI 1104029214


NPI Information

NPI: 1104029214
Provider Name: ANNA C KENNERKNECHT, AU.D., CCC-A
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Individual
Address:
815 CROCKER RD STE 8
WESTLAKE, OH
ZIP 44145
Phone: (440) 438-3401
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Anna C Kennerknecht, AU.D., CCC-A is an audiologist hearing aid fitter in Westlake, OH with 15 years of experience. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. Anna C Kennerknecht, AU.D., CCC-A NPI is 1104029214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

815 CROCKER RD STE 8
WESTLAKE, OH
ZIP 44145-072
Phone: (440) 438-3401
Fax: (440) 999-8924

The enumeration date for this NPI number is 6/6/2007 and was last updated on 7/25/2022.


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
1231H00000XAudiologist310COLORADONo
2237600000XAudiologist-Hearing Aid FitterA.02285OHIOYes
3237600000XAudiologist-Hearing Aid Fitter310COLORADONo
4237600000XAudiologist-Hearing Aid Fitter6606MONTANANo
5332S00000XHearing Aid Equipment6606MONTANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
183234551MEDICAIDCOLORADO

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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