Individual
KIMBERLY L TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
1833 N KINSER PIKE, BLOOMINGTON, IN 47404-1914
(812) 822-2892
Mailing address
1833 N KINSER PIKE, BLOOMINGTON, IN 47404-1914
(812) 822-2892
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001559A
IN
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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