Provider Demographics
NPI:1316485881
Name:KENEALEY HEARING LLC
Entity type:Organization
Organization Name:KENEALEY HEARING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KENEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:206-782-1597
Mailing Address - Street 1:10002 AURORA AVE N
Mailing Address - Street 2:SUITE 30
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9347
Mailing Address - Country:US
Mailing Address - Phone:206-782-1597
Mailing Address - Fax:206-902-4341
Practice Address - Street 1:10002 AURORA AVE N
Practice Address - Street 2:SUITE 30
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9347
Practice Address - Country:US
Practice Address - Phone:206-782-1597
Practice Address - Fax:206-902-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment