Provider Demographics
NPI:1467147058
Name:KEY HEARING AIDS OF FORT WAYNE SOUTH LLC
Entity Type:Organization
Organization Name:KEY HEARING AIDS OF FORT WAYNE SOUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GANESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIPAPURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-277-2694
Mailing Address - Street 1:40 EXECUTIVE DR STE F
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5479
Mailing Address - Country:US
Mailing Address - Phone:317-689-7171
Mailing Address - Fax:317-451-4810
Practice Address - Street 1:4916 ILLINOIS RD STE 105
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-5116
Practice Address - Country:US
Practice Address - Phone:260-408-5327
Practice Address - Fax:260-408-7408
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASS HEARING AIDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty