| Angkor Audiology Llc | |
|
1005 N Pine St, Rolla, MO 65401-2824 | |
| (573) 426-3350 | |
| Not Available |
| Full Name | Angkor Audiology Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 1005 N Pine St, Rolla, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356066518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Christy Kimly Mahrt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245471150 PECOS PAC ID: 1355739186 Enrollment ID: I20230313000862 |
| Mailing Address | Practice Location Address |
|---|---|
| Angkor Audiology Llc 1005 N Pine St, Rolla, MO 65401-2824 Ph: (573) 426-3350 | Angkor Audiology Llc 1005 N Pine St, Rolla, MO 65401-2824 Ph: (573) 426-3350 |
Dr. Lynne Cary Schenk, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-5719 Fax: 573-364-6493 | |
Dr. Alec Deveney, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-8822 | |
Larry Mazzeo, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 600 Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-5719 Fax: 573-364-5719 |