# ILLUMINEAR TINNITUS & AUDIOLOGY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IlluminEar Audiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689076572
- **Authorized official:** KRISTEN KEENER AU.D. (OWNER)
- **Authorized official phone:** (512) 407-9215

## Contact information

- **Practice address:** 711 W 38TH ST, SUITE B14, AUSTIN, TX 78705-1121
- **Practice address phone:** (512) 407-9215
- **Mailing address:** 711 W 38TH ST, SUITE B14, AUSTIN, TX 78705-1121
- **Mailing address phone:** (512) 407-9215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 51189 | TX | Yes |

## Other

- **Enumeration date:** 09/22/2014
- **Last updated:** 01/07/2015