Provider Demographics
NPI:1386649283
Name:ORMSON, KERRY D (EDD, AUD)
Entity type:Individual
Prefix:DR
First Name:KERRY
Middle Name:D
Last Name:ORMSON
Suffix:
Gender:M
Credentials:EDD, AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4131
Mailing Address - Country:US
Mailing Address - Phone:806-468-4343
Mailing Address - Fax:806-468-4366
Practice Address - Street 1:5501 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4131
Practice Address - Country:US
Practice Address - Phone:806-468-4343
Practice Address - Fax:806-468-4366
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50313231H00000X, 237600000X, 231HA2400X, 231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX505717Medicare ID - Type Unspecified
TXR64696Medicare UPIN