Provider Demographics
NPI:1710612320
Name:AUDIOLOGY CONCEPTS, LLC
Entity Type:Organization
Organization Name:AUDIOLOGY CONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KARRI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIEFAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-723-7880
Mailing Address - Street 1:7380 FRANCE AVE S STE 200
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1068 LAKE ST S STE 108
Practice Address - Street 2:
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025-2633
Practice Address - Country:US
Practice Address - Phone:651-464-8486
Practice Address - Fax:651-464-8747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUDIOLOGY CONCEPTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty