Individual
MR. KENNETH A ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD MS
Contact information
Practice address
933 RED APPLE RD, STE 100, WENATCHEE, WA 98801-3370
(509) 662-7143
(509) 665-4301
Mailing address
PO BOX 3027, WENATCHEE, WA 98807-3027
(509) 662-7143
(509) 665-4301
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
D00001397
WA
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043553
—
WA
Enumeration date
11/15/2005
Last updated
11/21/2011
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