MRS. Kristy Kay Deiters, AU.D.

NPI #1225317506 in Portage, Michigan

Provider Information

NPI Number: 1225317506
Entity Type: Individual
Name: MRS. Kristy Kay Deiters, AU.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AU.D.
Enumeration Date: Aug 4, 2011
Last Updated: Aug 4, 2011

Practice Location

Address: 576 ROMENCE RD
Address 2: STE. 121
City: Portage
State: Michigan
ZIP Code: 49024-3472
Phone: (269) 324-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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