Individual
KERRY J CHMIELENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD. CCC-A
Contact information
Practice address
6000 HIGHWAY 98, PENSACOLA, FL 32512-3883
(288) 225-4252
Mailing address
4700 SW ARCHER RD, GAINESVILLE, FL 32608-3886
(352) 375-8595
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600338900
—
FL
Enumeration date
07/19/2005
Last updated
05/23/2024
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