Individual
KENDAL FOX EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1000 JASON WITTEN WAY, ELIZABETHTON, TN 37643-2970
(423) 439-4355
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2160
TN
231H00000X
Audiologist
2201001843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q086320
—
TN
Enumeration date
07/26/2021
Last updated
01/17/2024
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