Provider Demographics
NPI:1386185254
Name:HILL, EDGAR (AUDIOPROSTHOLOGIST)
Entity type:Individual
Prefix:
First Name:EDGAR
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:AUDIOPROSTHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 W LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-3106
Mailing Address - Country:US
Mailing Address - Phone:859-737-9727
Mailing Address - Fax:859-737-0146
Practice Address - Street 1:1515 W. LEXINGTON AVE.
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391
Practice Address - Country:US
Practice Address - Phone:859-737-9727
Practice Address - Fax:859-737-0146
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100478237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist