Individual
KELLY JO TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2320 CONCORD RD STE A, LAFAYETTE, IN 47909-2710
(765) 477-7436
(765) 477-1245
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002286A
IN
Other
Enumeration date
10/27/2006
Last updated
04/23/2025
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