| NPI | 1114367018 |
|---|---|
| Former Name | KELLIE MICHELLE WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1165) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 000748) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 001046) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |