| NPI | 1912409830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON F KELLY Owner 251-709-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AL 1193A) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-07-25 |