Individual
KELLIE C KOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Contact information
Practice address
2601 KENTUCKY AVE, DOC BLDG 1, STE 201, PADUCAH, KY 42003-3817
(270) 575-0079
(270) 575-0646
Mailing address
2601 KENTUCKY AVE, DOC BLDG 1, STE 201, PADUCAH, KY 42003-3817
(270) 575-0079
(270) 575-0646
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
KY0405
KY
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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