Individual
JULIE L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1930 MYRTLE AVE STE A, EUREKA, CA 95501-1406
(707) 443-4503
(707) 443-7672
Mailing address
1930 MYRTLE AVE, EUREKA, CA 95501-1406
(707) 443-4503
(707) 443-7672
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2309
CA
237600000X
Audiologist-Hearing Aid Fitter
HA5064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0023090
—
CA
Enumeration date
08/03/2005
Last updated
03/07/2018
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