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Individual

WALTER KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
701 PALOMAR AIRPORT RD STE 300, CARLSBAD, CA 92011-1028
(760) 434-4327
(858) 437-9924
Mailing address
701 PALOMAR AIRPORT RD STE 300, CARLSBAD, CA 92011-1028
(760) 434-4327
(858) 437-9924

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
CAHA2450
CA
237700000X
Hearing Instrument Specialist
Primary
HA 2450
CA
237700000X
Hearing Instrument Specialist
HAS218
NV

Other

Enumeration date
06/07/2010
Last updated
05/06/2020
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