Provider Demographics
NPI:1043244338
Name:EVANS, PAULA KING (AUD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:KING
Last Name:EVANS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 HIFNER RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-9625
Mailing Address - Country:US
Mailing Address - Phone:859-873-5780
Mailing Address - Fax:
Practice Address - Street 1:2387 PROFESSIONAL HEIGHTS DRIVE
Practice Address - Street 2:SUITE 30
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-276-4838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA-0224231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier