Provider Demographics
NPI:1225097728
Name:KIRKEY, KAREN P (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:P
Last Name:KIRKEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:PATRICE
Other - Last Name:KIRKEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:41 OCONNOR RD
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-1327
Mailing Address - Country:US
Mailing Address - Phone:585-377-4660
Mailing Address - Fax:
Practice Address - Street 1:129 BOARDMAN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-3807
Practice Address - Country:US
Practice Address - Phone:585-442-3022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA6752Medicare PIN