Individual
PATRICIA KAYTE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HA 61144575
Contact information
Practice address
710 S MAIN ST, COLVILLE, WA 99114-2508
(509) 684-2120
(509) 684-3260
Mailing address
710 S MAIN ST, COLVILLE, WA 99114-2508
(509) 684-2120
(509) 684-3260
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
61144575
WA
237700000X
Hearing Instrument Specialist
Primary
61144575
WA
Other
Enumeration date
02/22/2022
Last updated
05/24/2022
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