Provider Demographics
NPI:1073763108
Name:HEARING SPECIALISTS OF KALAMAZOO INC
Entity Type:Organization
Organization Name:HEARING SPECIALISTS OF KALAMAZOO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, FAAA
Authorized Official - Phone:269-366-4445
Mailing Address - Street 1:4230 S WESTNEDGE AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-3291
Mailing Address - Country:US
Mailing Address - Phone:269-760-5504
Mailing Address - Fax:269-216-4106
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:SUITE M 273
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-381-0180
Practice Address - Fax:269-381-7347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1358951237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty