Provider Demographics
NPI:1073138376
Name:WHITELEY, AARON KYLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:KYLE
Last Name:WHITELEY
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12691 W SMOKEY DR STE 131
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-3800
Mailing Address - Country:US
Mailing Address - Phone:623-583-1737
Mailing Address - Fax:623-583-0607
Practice Address - Street 1:12691 W SMOKEY DR STE 131
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-3800
Practice Address - Country:US
Practice Address - Phone:623-583-1737
Practice Address - Fax:623-583-0607
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA12452237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter