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Individual

MRS. EVELYN JEAN WIEST-KERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-A

Contact information

Practice address
208 POINT PLZ, BUTLER, PA 16001-2552
(724) 283-3984
(724) 283-3796
Mailing address
208 POINT PLZ, BUTLER, PA 16001-2552
(724) 283-3984
(724) 283-3796

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000515L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019466760001
PA
01
216037
HIGHMARK
Enumeration date
02/19/2008
Last updated
08/22/2013
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