Provider Demographics
NPI:1578947792
Name:RANKIN CLINICAL AUDIOLOGY
Entity Type:Organization
Organization Name:RANKIN CLINICAL AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC-A
Authorized Official - Phone:303-698-7378
Mailing Address - Street 1:4600 HALE PKWY
Mailing Address - Street 2:#450
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4020
Mailing Address - Country:US
Mailing Address - Phone:303-594-2158
Mailing Address - Fax:303-333-2016
Practice Address - Street 1:4600 HALE PKWY
Practice Address - Street 2:#450
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4020
Practice Address - Country:US
Practice Address - Phone:303-698-7378
Practice Address - Fax:303-333-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO82231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1932791027OtherNPI
CO1578947792OtherNPI
CO1073655023OtherNPI
CO1669932075OtherNPI