Individual
MRS. KIM C SHORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD FAAA
Contact information
Practice address
1955 OHIO DR, GROVE CITY, OH 43123-4835
(614) 257-5815
Mailing address
1955 OHIO DR, GROVE CITY, OH 43123-4835
(614) 257-5815
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094740
—
OH
Enumeration date
02/01/2006
Last updated
05/25/2010
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