Individual
KAILEY RAE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
5197 PYRAMID FALLS DR, DUBLIN, OH 43016-8045
(614) 678-9768
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A.02281
OH
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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