Kerry L Pendak is a Audiologist in Lebanon, New Hampshire. Kerry L Pendak practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Kerry L Pendak is 1538353891. The last update date is 2016-01-27.
Kerry L Pendak's current location address is 1 Medical Center Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036508125. The mailing address for Kerry L Pendak is 1 Medical Center Dr, Lebanon, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry L Pendak |
|---|---|
| Address | 1 Medical Center Dr, Lebanon, New Hampshire |
| Phone Number | 6036508125 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | AU.D |
NPI Number Detail
| NPI Number | 1538353891 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2016-01-27 |
Provider Mailing Address Detail
| Address | 1 Medical Center Dr |
|---|---|
| City | Lebanon |
| State | New Hampshire (NH) |
| Post Code | 37561000 |
| Phone Number | 6036508125 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | A543 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30436059 | NH | -- | |
| 1014076 | VT | -- |
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What is the Kerry L Pendak's 1538353891?
The Kerry L Pendak's NPI (National Provider Identifier) Number is 1538353891. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kerry L Pendak?
The Kerry L Pendak is physically situated at 1 Medical Center Dr, in the city of Lebanon, state of NH, with the postal code 37561000.
What is the Kerry L Pendak's specialty and taxonomy code?
The Kerry L Pendak's specialty is Audiologist, and the corresponding taxonomy code is 231H00000X.
On what date did Kerry L Pendak receive its 1538353891 assignment from the Centers for Medicare & Medicaid Services?
The Kerry L Pendak was assigned its 1538353891 on 2007-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kerry L Pendak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kerry L Pendak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-01-27.
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