Individual
KIMBALLI P STARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
000322
CT
237700000X
Hearing Instrument Specialist
Primary
HAD00124
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261116920
TAX ID
RI
Enumeration date
05/01/2012
Last updated
12/03/2019
Update your record
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