Individual
MS. KELLEY ANN BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2655 1ST ST STE 170, SIMI VALLEY, CA 93065-1565
(805) 584-3327
(805) 584-3327
Mailing address
2655 1ST ST STE 170, SIMI VALLEY, CA 93065-1565
(805) 584-3327
(805) 584-3327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
CAAU1170
CA
Other
Enumeration date
05/10/2007
Last updated
06/24/2014
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