Individual
KATHLEEN TAYLOR HIETPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2481 E 11TH ST, ODESSA, TX 79761-4232
(432) 335-9514
(432) 335-0906
Mailing address
2481 E 11TH ST, ODESSA, TX 79761-4232
(432) 335-9514
(432) 335-0906
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
51342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T0617
BC/BS PROVIDER #
TX
Enumeration date
10/26/2006
Last updated
09/09/2009
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