Individual
DR. KELLY LYNN KODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY & LAMONT ST, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3403
Mailing address
207 E MILL ST, ELIZABETHTON, TN 37643-2001
(423) 737-1830
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7441
NC
Other
Enumeration date
10/19/2006
Last updated
07/16/2008
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