Individual
ADRIENNE AM THOMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
615 WEST 39TH STREET, KEARNEY, NE 68845-8001
(308) 865-2277
(308) 865-2523
Mailing address
615 WEST 39TH STREET, KEARNEY, NE 68845-8001
(308) 865-2277
(308) 865-2523
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
228
NE
237600000X
Audiologist-Hearing Aid Fitter
709
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077661900
—
NE
05
—
47077661964
—
NE
Enumeration date
10/25/2005
Last updated
10/07/2008
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