Provider Demographics
NPI:1174800510
Name:ASCHERFELD, KEVIN (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:ASCHERFELD
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3062
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88202-3062
Mailing Address - Country:US
Mailing Address - Phone:928-243-4419
Mailing Address - Fax:
Practice Address - Street 1:1000 W 4TH ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-3038
Practice Address - Country:US
Practice Address - Phone:575-623-8474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA12508231H00000X, 237600000X
NMAUD7192231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter