| NPI | 1639691488 |
|---|---|
| Former Name | SEVERENA L KIMBALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2423) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 1714) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |