Basic Information
| Provider Information | |||||||||
| NPI: | 1477735983 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KARNS HEARD | ||||||||
| FirstName: | SUMMER | ||||||||
| MiddleName: | RAYE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6700 WASHINGTON AVE S | ||||||||
| Address2: | |||||||||
| City: | EDEN PRAIRIE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553443405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123511529 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 33605 US HIGHWAY 280 | ||||||||
| Address2: | |||||||||
| City: | CHILDERSBURG | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2563787000 | ||||||||
| FaxNumber: | 2563780730 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/27/2007 | ||||||||
| LastUpdateDate: | 04/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 0997A | AL | N | Speech, Language and Hearing Service Providers | Audiologist | 237700000X | 0997A | AL | N | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 237600000X | 0997A | AL | Y | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.