| NPI | 1467501072 |
|---|---|
| Former Name | KIMBERLEY J AUSTIN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147-000646) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147-000646) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: IL 147-000646) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-08-08 |