Individual
KELLY MICHELLE SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
2934 LINCOLN AVE, SAN DIEGO, CA 92104-2909
(619) 283-8400
(619) 283-8086
Mailing address
2934 LINCOLN AVE, SAN DIEGO, CA 92104-2909
(619) 283-8400
(619) 283-8086
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
HAD7317
CA
237700000X
Hearing Instrument Specialist
Primary
HAD7317
CA
Other
Enumeration date
01/07/2015
Last updated
01/19/2015
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