Individual
MS. KELLY VICTORIA TYUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 202-A, HENDERSONVILLE, TN 37075-2379
(615) 851-3901
(615) 447-3612
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 202-A, HENDERSONVILLE, TN 37075-2379
(615) 851-3901
(615) 447-3612
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
SLPAUD00218466
KY
237700000X
Hearing Instrument Specialist
577
TN
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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