Individual
DR. JOHN KIP KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.,PH.D.
Contact information
Practice address
800 ZORN AVE # 126, LOUISVILLE, KY 40206-1433
(502) 287-4214
Mailing address
150 MUIR RD # 126, MARTINEZ, CA 94553-4668
(925) 372-2000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-01512
OH
231HA2400X
Assistive Technology Practitioner Audiologist
A01512
OH
231HA2500X
Assistive Technology Supplier Audiologist
A01512
OH
237600000X
Audiologist-Hearing Aid Fitter
A01512
OH
Other
Enumeration date
10/16/2006
Last updated
04/26/2024
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