Individual
MRS. MICHELE L KOCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 48TH AVE N STE 203, MYRTLE BEACH, SC 29577-5434
(843) 438-0283
Mailing address
390 PILOTHOUSE DR, MYRTLE BEACH, SC 29577-6752
(802) 598-6900
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-0661
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAS-0661
LICENSE NUMBER
SC
Enumeration date
06/18/2019
Last updated
09/30/2024
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