Individual
KELLY MANKIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
780 NW YORK DR STE 102, BEND, OR 97703-1054
(541) 280-7548
(541) 904-8378
Mailing address
780 NW YORK DR STE 102, BEND, OR 97703-1054
(541) 280-7548
(541) 904-8378
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030899
OR
237600000X
Audiologist-Hearing Aid Fitter
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Other
Enumeration date
04/22/2020
Last updated
10/16/2024
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