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Individual

KELLI L. DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
860 W 7TH ST, HANFORD, CA 93230-4926
(559) 585-7252
Mailing address
2311 HILLMAN ST APT 226, TULARE, CA 93274-8069
(559) 827-5870

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU2649
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134946
LABOR & INDUSTRY
WA
05
8338337
WA
Enumeration date
07/26/2006
Last updated
01/13/2025
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