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Individual

KIMBERLEY SUE HOLLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD,CCC/A

Contact information

Practice address
6938 ELM VALLEY DR STE 103, KALAMAZOO, MI 49009-7436
(269) 359-5390
Mailing address
6938 ELM VALLEY DR STE 103, KALAMAZOO, MI 49009-7436
(269) 359-5390

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
804845416
MI
05
904826232
MI
Enumeration date
04/12/2006
Last updated
11/11/2025
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