Individual
PATTI KAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06751
PARAMOUNT
OH
05
—
5187323
—
MI
01
—
PENDING
AETNA
OH
01
—
PENDING
HEALTH NET TRICARE
—
Enumeration date
01/15/2007
Last updated
08/16/2021
Update your record
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