Provider Demographics
NPI:1245334283
Name:KEY HEARING PLLC
Entity type:Organization
Organization Name:KEY HEARING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:WILKINSON
Authorized Official - Last Name:KEYLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCA
Authorized Official - Phone:425-802-7399
Mailing Address - Street 1:4300 TALBOT RD S STE 313
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6238
Mailing Address - Country:US
Mailing Address - Phone:425-277-9521
Mailing Address - Fax:425-277-9522
Practice Address - Street 1:4300 TALBOT RD S STE 313
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6238
Practice Address - Country:US
Practice Address - Phone:425-277-9521
Practice Address - Fax:425-277-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00002460231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty