Provider Demographics
NPI:1740277482
Name:KEN-BEL, INC
Entity type:Organization
Organization Name:KEN-BEL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-A
Authorized Official - Phone:502-245-5101
Mailing Address - Street 1:406 BLANKENBAKER LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1202
Mailing Address - Country:US
Mailing Address - Phone:502-245-5101
Mailing Address - Fax:502-245-7602
Practice Address - Street 1:406 BLANKENBAKER LN
Practice Address - Street 2:SUITE A
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1202
Practice Address - Country:US
Practice Address - Phone:502-245-5101
Practice Address - Fax:502-245-7602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000045845OtherANTHEM PIN
KY1196910OtherCHA HEALTH PIN
KY=========COtherHUMANA PIN
KY1196910OtherCHA HEALTH PIN
KY3858Medicare PIN