Individual
KAY M PUSAKULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1030 JEFFERSON AVE, 112H, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
313 FERNWAY CV, MEMPHIS, TN 38117-2012
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000107
TN
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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