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Shawny Jerretta Blake, BCHIS
Hearing Instrument Specialist in Kennett, Missouri
NPI 1013142207

Shawny Jerretta Blake is a Hearing Instrument Specialist based in Kennett, MO. Shawny Jerretta Blake practices in Kennett, MO and has the professional credentials of BCHIS. The NPI Number for Shawny Jerretta Blake is 1013142207 and holds a License No. 1003 (Missouri).

The current practice location address for Shawny Jerretta Blake is 913B Saint Francis St, Kennett, MO and can be reached out via phone at 573-888-9881. You can also correspond with Shawny Jerretta Blake through the mailing address at 913B SAINT FRANCIS ST, KENNETT, MO - 63857-1779 (mailing address contact number: 573-888-9881).

Location: 913B Saint Francis St, Kennett, MO, 63857-1779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013142207
Provider Name
Shawny Jerretta Blake
Credential
BCHIS
Provider Entity Type
Individual
Gender
Female
Address
913B Saint Francis St, Kennett, MO, 63857-1779
Phone Number
573-888-9881
Fax Number
Provider Enumeration Date
05/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
401516 01 MO BLUE CROSS AND BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
913B Saint Francis St
City
Kennett
State
Missouri
Zip
63857-1779
Phone Number
573-888-9881
Fax Number
person
Provider Business Mailing Address Details
Address
913B Saint Francis St
City
Kennett
State
Missouri
Zip
63857-1779
Phone Number
573-888-9881
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Hearing Instrument Specialist
Speciality
-
Taxonomy
237700000X
License No.
1003 (Missouri)
Definition
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
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