Provider Demographics
NPI:1467668657
Name:HEARING SERVICES OF KENTUCKY INC.
Entity Type:Organization
Organization Name:HEARING SERVICES OF KENTUCKY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ISON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:270-886-8468
Mailing Address - Street 1:PO BOX 1002
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42241-1002
Mailing Address - Country:US
Mailing Address - Phone:270-886-8468
Mailing Address - Fax:270-886-8472
Practice Address - Street 1:1720 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-3684
Practice Address - Country:US
Practice Address - Phone:270-886-8468
Practice Address - Fax:270-886-8472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY94231H00000X
KYKY0473231H00000X
KYKY94 KY0473231HA2400X
KYKY0317 KY 0944237600000X
KYKY0944 KY0317237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY300800Medicare Oscar/Certification