Individual
KAITLYN A WENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4550
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A4458
MS
231H00000X
Audiologist
—
—
Other
Enumeration date
05/01/2018
Last updated
07/03/2018
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