| NPI | 1619239092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KODY D KENNINGTON Dr. Of Audiology 801-643-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2013-08-14 |