Provider Demographics
NPI:1497960173
Name:HAHNEL, ANNE KIMPEL (MS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:KIMPEL
Last Name:HAHNEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL VILLAGE DR
Mailing Address - Street 2:DEPARTMENT OF AUDIOLOGY & SPEECH PATHOLOGY
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3403
Mailing Address - Country:US
Mailing Address - Phone:859-301-5740
Mailing Address - Fax:859-301-5741
Practice Address - Street 1:1 MEDICAL VILLAGE DR
Practice Address - Street 2:DEPARTMENT OF AUDIOLOGY & SPEECH PATHOLOGY
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3403
Practice Address - Country:US
Practice Address - Phone:859-301-5740
Practice Address - Fax:859-301-5741
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2229235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist