Provider Demographics
NPI:1023733052
Name:4E AUDIOLOGY, PLLC
Entity type:Organization
Organization Name:4E AUDIOLOGY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:T
Authorized Official - Last Name:KUYKENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:580-774-2333
Mailing Address - Street 1:1745 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-2554
Mailing Address - Country:US
Mailing Address - Phone:580-774-2333
Mailing Address - Fax:580-774-2373
Practice Address - Street 1:1745 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-2554
Practice Address - Country:US
Practice Address - Phone:580-774-2333
Practice Address - Fax:580-774-2373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty