Individual
MS. KAITLYN IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1492 S MILL AVE STE 301, TEMPE, AZ 85281-5676
(480) 894-5550
Mailing address
6553 E BAYWOOD AVE, STE 104, MESA, AZ 85206-1753
(602) 956-1250
(623) 321-8620
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA9099
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527862
—
AZ
Enumeration date
09/11/2014
Last updated
08/18/2021
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