Provider Demographics
NPI:1033095971
Name:SOUTHERN KENTUCKY AUDIOLOGY
Entity type:Organization
Organization Name:SOUTHERN KENTUCKY AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:270-791-6144
Mailing Address - Street 1:2501 CROSSINGS BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5459
Mailing Address - Country:US
Mailing Address - Phone:270-791-6144
Mailing Address - Fax:
Practice Address - Street 1:2501 CROSSINGS BLVD STE 225
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5459
Practice Address - Country:US
Practice Address - Phone:270-791-6144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty