Individual
MRS. KELLEY ANN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
128 LILLY RD NE, SUITE #202, OLYMPIA, WA 98506-7400
(360) 357-6314
(360) 705-3745
Mailing address
10016 LOOKOUT DR NW, OLYMPIA, WA 98502-9713
(360) 330-8944
(360) 330-8943
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
LD00002125
WA
231HA2400X
Assistive Technology Practitioner Audiologist
LD00002125
WA
237600000X
Audiologist-Hearing Aid Fitter
Primary
LD00002125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7107295
—
WA
05
—
9058397
—
WA
Enumeration date
03/30/2007
Last updated
10/20/2015
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