| NPI | 1760298152 |
|---|---|
| Former Name | JESSIE KINGREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2537) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 2037) |
| 231H00000X Audiologist (Licence: MO 2025054307) | |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2026-01-27 |