Individual
ELIZABETH WALSTROM KEHRWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4601 HERITAGE TRACE PKWY, KELLER, TX 76244
(817) 431-7985
(817) 431-5031
Mailing address
4601 HERITAGE TRACE PARKWAY, FORT WORTH, TX 76244
(817) 431-7985
(817) 431-5031
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
570
CO
231HA2400X
Assistive Technology Practitioner Audiologist
570
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570
AUDIOLOGY LICENSE
CO
Enumeration date
10/16/2009
Last updated
10/24/2014
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