| NPI | 1972059525 |
|---|---|
| Former Name | KELLY HEMMINGWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 13356) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002649) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-02-12 |