Marion Lawrence Caldwell, AU.D

Individual provider Active NPI Audiologist-Hearing Aid Fitter · Danville, KY

NPI 1124009972 · NPPES record last updated Oct 13, 2011

Key facts

NPI
1124009972
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist-Hearing Aid Fitter 237600000X
License
KY0106 (KY)
Practice address
3940 S Danville Byp
Danville, KY 40422-2529
Phone
(859) 236-3865
Fax
(859) 236-1690
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
106KYMDCounselor
KY0106KYMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X KY0106 KY Yes

Addresses

Primary practice location

3940 S Danville Byp
Danville, KY 40422-2529

Mailing address

3940 S Danville Byp
Danville, KY 40422-2529
Phone (859) 236-3865

Other identifiers

IdentifierTypeStateIssuer
611323166OtherKYTRICARE
640004050OtherKYRAILROAD MEDICARE
000000065710OtherKYANTHEM/BLUE CROSS BLUE SH

Other providers in Danville, KY

All providers in Danville, KY · Audiologist-Hearing Aid Fitter in Kentucky

Sources for this page

Verify at the official NPI Registry.