Individual
MS. KELLY LYNN CHASTAIN-MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC A
Contact information
Practice address
3525 MITCHELL RD STE B, BEDFORD, IN 47421-5558
(812) 275-4479
(812) 275-4495
Mailing address
3525 MITCHELL RD STE B, PO BOX 125, BEDFORD, IN 47421-5558
(812) 275-4479
(812) 275-4495
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
231HA2400X
Assistive Technology Practitioner Audiologist
—
—
231HA2500X
Assistive Technology Supplier Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
23002103A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200028290
—
IN
Enumeration date
02/23/2006
Last updated
06/25/2014
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