| NPI | 1154632123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON KAYE KIMBALL Insurance Coordinator 801-713-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: UT 348193-4101) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-08-12 |