Individual
MRS. KELLY R PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2011 MALL DR STE 4, TEXARKANA, TX 75503-2550
(903) 792-3986
(903) 792-3935
Mailing address
2011 MALL DR STE 4, TEXARKANA, TX 75503-2550
(903) 792-3986
(903) 792-3935
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
80696
TX
Other
Enumeration date
07/08/2013
Last updated
06/18/2019
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