| Advanced Audiology Associates, Llc | |
|
912 Meramec Station Rd Ste F, Valley Park, MO 63088-2045 | |
| (618) 939-6861 | |
| Not Available |
| Full Name | Advanced Audiology Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 912 Meramec Station Rd Ste F, Valley Park, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134528375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2013008765 (Missouri) | Primary |
| Provider Name | Brandi Pettis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235301771 PECOS PAC ID: 1759456791 Enrollment ID: I20141210001612 |
| Provider Name | Jacob Michael Swanson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538757828 PECOS PAC ID: 0143633370 Enrollment ID: I20210107002722 |
| Provider Name | Kelly Kiley Knighten |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710147343 PECOS PAC ID: 3870669674 Enrollment ID: I20230608000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Audiology Associates, Llc 912 Meramec Station Rd Ste F, Valley Park, MO 63088-2045 Ph: () - | Advanced Audiology Associates, Llc 912 Meramec Station Rd Ste F, Valley Park, MO 63088-2045 Ph: (618) 939-6861 |
Ms. Kelly Kiley Knighten, AU.D., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 912 Meramec Station Rd Ste F, Valley Park, MO 63088 Phone: 636-825-9999 |