Individual
KATHLEEN ELISE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
103 SUBURBAN RD STE 101D, KNOXVILLE, TN 37923-5581
(865) 769-0283
(865) 769-0281
Mailing address
103 SUBURBAN RD STE 101D, KNOXVILLE, TN 37923-5581
(865) 769-0283
(865) 769-0281
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81030
AUDIOLOGY LICENSE
TX
Enumeration date
05/14/2019
Last updated
11/12/2020
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