Provider Demographics
NPI:1306029731
Name:LUCKETT, JOSEPH CURRIE I (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CURRIE
Last Name:LUCKETT
Suffix:I
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 1:402 COOMER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-3824
Mailing Address - Country:US
Mailing Address - Phone:606-451-0098
Mailing Address - Fax:
Practice Address - Street 1:402 COOMER ST
Practice Address - Street 2:STE. 101
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-3824
Practice Address - Country:US
Practice Address - Phone:606-451-0098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY107231H00000X
KY0474237600000X
KYKY207237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist