Provider Demographics
NPI:1447278932
Name:KALLIO, KAREN E (AUD CCCA)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:KALLIO
Suffix:
Gender:F
Credentials:AUD CCCA
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:SOLOVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD CCCA
Mailing Address - Street 1:3080 HARRODSBURG RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2774
Mailing Address - Country:US
Mailing Address - Phone:859-277-3725
Mailing Address - Fax:859-276-6263
Practice Address - Street 1:3080 HARRODSBURG RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2774
Practice Address - Country:US
Practice Address - Phone:859-277-3725
Practice Address - Fax:859-276-6263
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000140237600000X
KY100027231H00000X
KY102471237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4702718Medicaid
MI0N81970Medicare ID - Type Unspecified
MI4702718Medicaid