Provider Demographics
NPI:1013171909
Name:LONDO, KARI ELLEN (AUD)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ELLEN
Last Name:LONDO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LIVEWELL DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6762
Mailing Address - Country:US
Mailing Address - Phone:207-985-8005
Mailing Address - Fax:207-985-8006
Practice Address - Street 1:2 LIVEWELL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6762
Practice Address - Country:US
Practice Address - Phone:207-985-8005
Practice Address - Fax:207-985-8006
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1498231H00000X
FLAS3905237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001032200Medicaid
FLAP465YMedicare PIN