Provider Demographics
NPI:1710201710
Name:KIMBERLY BONNEY AUD, INC
Entity Type:Organization
Organization Name:KIMBERLY BONNEY AUD, INC
Other - Org Name:GOLD COUNTRY HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BONNEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:530-477-8114
Mailing Address - Street 1:457 SUTTON WAY
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-4102
Mailing Address - Country:US
Mailing Address - Phone:530-263-8753
Mailing Address - Fax:
Practice Address - Street 1:457 SUTTON WAY
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-4102
Practice Address - Country:US
Practice Address - Phone:530-477-8114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2155237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty