Provider Demographics
NPI:1730774829
Name:RANK CLINICAL AUDIOLOGY
Entity type:Organization
Organization Name:RANK CLINICAL AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWLS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:303-698-7378
Mailing Address - Street 1:4600 HALE PKWY STE 450
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4013
Mailing Address - Country:US
Mailing Address - Phone:303-698-7378
Mailing Address - Fax:
Practice Address - Street 1:269 E AVENUE
Practice Address - Street 2:
Practice Address - City:LIMON
Practice Address - State:CO
Practice Address - Zip Code:80828
Practice Address - Country:US
Practice Address - Phone:303-698-7378
Practice Address - Fax:303-333-2016
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANK CLINICAL AUDIOLOGY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1073655023OtherNPI
CO1578947792OtherNPI
CO1669932075OtherNPI
CO1932791027OtherNPI