| NPI | 1093951170 |
|---|---|
| Former Name | STACY R KERSCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2165) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 1436) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2012-05-08 |