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Individual

DR. ANGELA K. GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
3101 N. GREEN RIVER ROAD, SUITE 620, EVANSVILLE, IN 47715
(812) 303-4300
(812) 303-4308
Mailing address
3101 N GREEN RIVER RD STE 510, EVANSVILLE, IN 47715-1374
(812) 303-4300
(812) 303-4308

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002061A
IN
231HA2500X
Assistive Technology Supplier Audiologist
23002061A
IN
237600000X
Audiologist-Hearing Aid Fitter
23002061A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200096620
IN
Enumeration date
08/19/2005
Last updated
01/30/2024
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