Provider Demographics
NPI:1013430149
Name:HULSE, KYA ELIZABETH (AUD)
Entity Type:Individual
Prefix:DR
First Name:KYA
Middle Name:ELIZABETH
Last Name:HULSE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KYA
Other - Middle Name:ELIZABETH
Other - Last Name:GRAFENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:9000 W WISCONSIN AVE # B340
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-2934
Mailing Address - Fax:414-266-6189
Practice Address - Street 1:9000 W WISCONSIN AVE # B340
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-2934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI642-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1013430149Medicaid