Basic Information
| Provider Information | |||||||||
| NPI: | 1538364260 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GABLER | ||||||||
| FirstName: | KENNETH | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 164 | ||||||||
| Address2: | |||||||||
| City: | LARKSPUR | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801180164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043459139 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1020 JOHNSON RD | ||||||||
| Address2: | |||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804016002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7207235125 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2007 | ||||||||
| LastUpdateDate: | 11/12/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 1456 | TN | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | 560 | CO | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.