Basic Information
| Provider Information | |||||||||
| NPI: | 1851772461 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUEY | ||||||||
| FirstName: | KEELY | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1985 SUFFOLK RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432214246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145727843 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1901 FLOYD ST | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342392932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413669222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2015 | ||||||||
| LastUpdateDate: | 06/10/2015 | ||||||||
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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 | AY 1946 | FL | Y | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | A01387 | OH | N | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.