Organization
ILLUMINEAR TINNITUS & AUDIOLOGY CENTER
Active
Other names
IlluminEar Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KEENER AU.D. (OWNER)
(512) 407-9215
Entity
Organization
Contact information
Practice address
711 W 38TH ST, SUITE B14, AUSTIN, TX 78705-1121
(512) 407-9215
Mailing address
711 W 38TH ST, SUITE B14, AUSTIN, TX 78705-1121
(512) 407-9215
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51189
TX
Other
Enumeration date
09/22/2014
Last updated
01/07/2015
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