Individual
KRISTIN JOLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
674 CENTRE OF NEW ENGLAND BLVD, COVENTRY, RI 02816-6081
(401) 822-0423
(401) 822-0862
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AUD00164
RI
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
RI
237700000X
Hearing Instrument Specialist
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U400178206
MEDICARE
RI
Enumeration date
08/20/2008
Last updated
01/16/2018
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