Kylie Sandor, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

9107 Issued in MN

Practice address

5565 Blaine Ave
Inver Grove Heights, MN 55076-1238

Phone

(651) 888-7800

Fax

(651) 888-7801

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kylie Hodgeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1407284375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761238",
            "telephone_number": "651-888-7800",
            "fax_number": "651-888-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761238",
            "telephone_number": "651-888-7800",
            "fax_number": "651-888-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOR",
        "first_name": "KYLIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "9107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "HODGEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.