Individual
DR. KELLY MARIE VAN DE WYNGAERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913
(719) 524-6398
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
CO
Other
Enumeration date
06/22/2017
Last updated
05/20/2018
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