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Individual

MS. KARI ANN SORENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS AUDIOLOGIST, CCC

Contact information

Practice address
127 S WASHINGTON ST, #1, MOSCOW, ID 83843-2866
(208) 883-4242
(280) 883-2885
Mailing address
127 S WASHINGTON ST, #1, MOSCOW, ID 83843-2866
(208) 883-4242
(280) 883-2885

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD 1086
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23274
GROUP HEALTH
WA
01
AU498
BLUE CROSS
ID
Enumeration date
08/22/2006
Last updated
07/08/2007
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