Individual
KELLI DAWN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
5170 US ROUTE 60, HUNTINGTON, WV 25705-2004
(304) 528-4600
Mailing address
5170 US ROUTE 60, HUNTINGTON, WV 25705-2004
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A0381
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0381
STATE LICENSE
WV
Enumeration date
06/03/2021
Last updated
08/17/2021
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