# MURFREESBORO AUDIOLOGY CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477809614
- **Authorized official:** MR. KENNETH G STOCKDELL SR. (AUDIOLOGIST)
- **Authorized official phone:** (615) 890-3686

## Contact information

- **Practice address:** 811 S CHURCH ST, MURFREESBORO, TN 37130-4927
- **Practice address phone:** (615) 890-3686
- **Practice address fax:** (615) 890-0688
- **Mailing address:** 811 S CHURCH ST, MURFREESBORO, TN 37130-4927
- **Mailing address phone:** (615) 890-3686
- **Mailing address fax:** (615) 890-0688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 75 | TN | Yes |

## Other

- **Enumeration date:** 07/25/2012
- **Last updated:** 07/25/2012