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Individual

KRISTAL MILLS RISKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD, PHD

Contact information

Practice address
JAMES H QUILLEN VA MEDICAL CENTER /LAMONT STREET, BLDG 69--AUDIOLOGY 126, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
JAMES H. QUILLEN/VA MEDICAL CENTER, BLDG 69 (AUDIOLOGY (126), MOUNTAIN HOME, TN 37684
(423) 926-1171

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9712
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7413694
NC
Enumeration date
10/28/2011
Last updated
08/01/2014
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