Organization
PACIFIC COAST AUDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN KENNARD AU.D. (AUDIOLOGIST)
(805) 476-6212
Entity
Organization
Contact information
Practice address
1035 PEACH ST STE 204, SAN LUIS OBISPO, CA 93401-2700
(805) 476-6212
(805) 269-8091
Mailing address
1035 PEACH ST STE 204, SAN LUIS OBISPO, CA 93401-2700
(805) 476-6212
(805) 269-8091
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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