Provider Demographics
NPI:1033361605
Name:TINDER KRAUSS TINDER HEARING AID CENTER, INC.
Entity Type:Organization
Organization Name:TINDER KRAUSS TINDER HEARING AID CENTER, INC.
Other - Org Name:TINDER KRAUSS TINDER HEARING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:DURKIN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, ACA
Authorized Official - Phone:859-276-3277
Mailing Address - Street 1:124 BURT RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2411
Mailing Address - Country:US
Mailing Address - Phone:859-276-3277
Mailing Address - Fax:859-277-2405
Practice Address - Street 1:124 BURT RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2411
Practice Address - Country:US
Practice Address - Phone:859-276-3277
Practice Address - Fax:859-277-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0140237700000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========OtherBLUE CROSS/BLUE SHIELD