Organization
OPTIMAL AUDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GARNER AU.D. (PRESIDENT)
(765) 461-7174
Entity
Organization
Contact information
Practice address
3309 S 750 W, RUSSIAVILLE, IN 46979-9146
(765) 883-2273
(574) 699-6987
Mailing address
3309 S 750 W, RUSSIAVILLE, IN 46979-9146
(765) 883-2273
(574) 699-6987
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
23002078A
IN
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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