Most Relevant Information
Provider Data
| NPI Number: | 1003064155 |
| Provider Name: | SUSAN E. YEZZO AU.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 0429 |
Most Important Dates
| Enumeration Date: | 09/03/2008 |
| Last Updated: | 09/17/2018 |
Provider Practice Location
1140 LEXINGTON RD
SUITE 102
GEORGETOWN
KY
403249330
Practice Location Phone/Fax
| Phone: | 5028677806 |
| Fax: | 5028677836 |
Provider Mailing Location
1140 LEXINGTON RD
SUITE 102
GEORGETOWN
KY
403249330
Provider Mailing Phone/Fax
| Phone: | 5028677806 |
| Fax: | 5028677836 |