Individual
KELLY MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 NEUSE BLVD STE I, NEW BERN, NC 28560-4318
(252) 635-5005
Mailing address
26409 LYNN CIR, CALCIUM, NY 13616-2179
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
002649
NY
231H00000X
Audiologist
Primary
13356
NC
Other
Enumeration date
09/01/2016
Last updated
02/12/2019
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