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Individual

KELLY MITCHELL CAMARDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
147 COFFEE RD, LYNCHBURG, VA 24503-3807
(434) 841-2170
Mailing address
147 COFFEE RD, LYNCHBURG, VA 24503-3807
(434) 841-2170
(844) 689-3110

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001139
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417957531
VA
01
640000112
MEDICARE PALMETTO GBA PTAN (AUDIOLOGY HEARING AID ASSOCIATES, INC.)
VA
01
640004118
MEDICARE RAILROAD PTAN - DANNY W. GNEWIKOW, PH.D., LLC
VA
01
640004119
MEDICARE RAILROAD PTAN - AUDIOLOGY HEARING AID ASSOCIATES, INC.
VA
01
VAA103114
MEDICARE PALMETTO GBA PTAN (DANNY W. GNEWIKOW, PH.D., LLC)
VA
Enumeration date
07/29/2005
Last updated
04/01/2026
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