DR. Kelly Marie Van De Wyngaerde, AUD
NPI #1174043988 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1174043988
- Entity Type
- Individual
- Name
- DR. Kelly Marie Van De Wyngaerde, AUD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Audiologist
- Credential
- AUD
- Enumeration Date
- Jun 22, 2017
- Last Updated
- May 20, 2018
Practice Location
- Address
- 1650 COCHRANE CIR
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913
- Phone
- (719) 524-6398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Audiologist |
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