| NPI | 1285256974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C SPARKS Owner 757-453-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 174400000X Specialist |
| 207Y00000X Otolaryngology | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2021-06-02 |