Individual
CAROL A KILLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
49 FRONT ST N, ISSAQUAH, WA 98027-3237
(425) 392-1161
(425) 391-5692
Mailing address
49 FRONT ST N, ISSAQUAH, WA 98027-3237
(425) 392-1161
(425) 391-5692
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001153
WA
231HA2400X
Assistive Technology Practitioner Audiologist
LD00001153
WA
231HA2500X
Assistive Technology Supplier Audiologist
LD00001153
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209957
L&I
WA
05
—
7126048
—
WA
Enumeration date
10/29/2007
Last updated
10/29/2007
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