Individual
MS. KELLY SUZANNE PAUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
620 JOHN PUAL JPNES CIRCLE, NAVY ENVIRONMENTAL HEALTH CENTER SUITE 1100, PORTSMOUTH, VA 23708-2103
(757) 953-0775
(757) 953-0685
Mailing address
901 LEE SHORE CT, CHESAPEAKE, VA 23320-0703
(757) 953-0775
(757) 953-0685
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50792
TX
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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