Organization
BLOSSOM HEARING HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE BYRER AU.D. (OWNER/AUDIOLOGIST)
(330) 354-1968
Entity
Organization
Contact information
Practice address
8805 BLOSSOM CIR NW, MASSILLON, OH 44646-1346
(330) 327-1335
Mailing address
8805 BLOSSOM CIR NW, MASSILLON, OH 44646-1346
(330) 327-1335
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740219245
NPI
OH
Enumeration date
11/19/2019
Last updated
11/19/2019
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