| NPI | 1174241699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L KELLOGG Audiologist / Owner 319-393-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-09-26 |