Individual
KELLY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
225 S DOBSON RD, CHANDLER, AZ 85224-6274
(480) 558-5306
(480) 558-5307
Mailing address
9097 E DESERT COVE AVE, 260, SCOTTSDALE, AZ 85260-6279
(480) 273-8510
(480) 214-9933
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
51246
TX
231HA2400X
Assistive Technology Practitioner Audiologist
51246
TX
237600000X
Audiologist-Hearing Aid Fitter
51246
TX
237600000X
Audiologist-Hearing Aid Fitter
Primary
DA5812
AZ
Other
Enumeration date
01/19/2007
Last updated
12/29/2016
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