Individual
MATTHEW R BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
301 LOUIS ST, SUITE 101, KINGSPORT, TN 37660-5181
(423) 246-4600
(423) 246-3311
Mailing address
PO BOX 813, 200 POCAHONTAS TRAIL, WHITE SULPHUR SPRINGS, WV 24986-0813
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023491
—
TN
Enumeration date
08/28/2016
Last updated
09/12/2016
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