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Individual
KRISTY LAYNE FOSS
Active
Individual
KRISTY LAYNE FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCSD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
231HA2400X
Assistive Technology Practitioner Audiologist
602
MT
231HA2500X
Assistive Technology Supplier Audiologist
602
MT
237600000X
Audiologist-Hearing Aid Fitter
602
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000029148
BCBS PIN
MT
01
—
0531148
MDCD PIN
MT
05
—
0531148
—
MT
01
—
116552600
MDCD PIN
WY
Enumeration date
08/31/2006
Last updated
10/19/2011
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