Basic Information
Provider Information
NPI: 1386052702
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNT
FirstName: SARAH
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: AUD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KOCHER
OtherFirstName: SARAH
OtherMiddleName: K
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 6420 DUTCHMANS PKWY
Address2: STE 380
City: LOUISVILLE
State: KY
PostalCode: 402053355
CountryCode: US
TelephoneNumber: 5028949753
FaxNumber: 5023710929
Practice Location
Address1: 4004 DUPONT CIR
Address2: STE 220
City: LOUISVILLE
State: KY
PostalCode: 402074819
CountryCode: US
TelephoneNumber: 5028930159
FaxNumber: 5022133884
Other Information
ProviderEnumerationDate: 07/29/2014
LastUpdateDate: 10/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X0592KYY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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