Provider Demographics
NPI:1316811136
Name:PADUCAH HEARING LLC
Entity type:Organization
Organization Name:PADUCAH HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:AZAR
Authorized Official - Suffix:SR
Authorized Official - Credentials:HIS
Authorized Official - Phone:270-415-5347
Mailing Address - Street 1:918 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-6810
Mailing Address - Country:US
Mailing Address - Phone:270-415-5348
Mailing Address - Fax:270-415-5512
Practice Address - Street 1:918 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-6810
Practice Address - Country:US
Practice Address - Phone:270-415-5347
Practice Address - Fax:270-415-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty