| NPI | 1144355488 |
|---|---|
| Former Name | WANDA KAY KLEVGARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 14535) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WI 307156) |
| 231H00000X Audiologist (Licence: MN 7961) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-09-09 |