Provider Demographics
NPI:1942688817
Name:CARUSO, ALLISON CUMMINS (LHIS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CUMMINS
Last Name:CARUSO
Suffix:
Gender:F
Credentials:LHIS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:CUMMINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LHIS
Mailing Address - Street 1:107 CVB DR
Mailing Address - Street 2:STE 6
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741
Mailing Address - Country:US
Mailing Address - Phone:606-524-4059
Mailing Address - Fax:
Practice Address - Street 1:370 S HIGHWAY 27 STE 5
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-2774
Practice Address - Country:US
Practice Address - Phone:606-678-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY102760237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000070472OtherANTHEM BCBS MEMB #
KY1396867768OtherNPI
KY7100712110Medicaid