Individual
KIMBERLY RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 426-0130
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8634
LA
Other
Enumeration date
07/15/2020
Last updated
09/18/2023
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